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Precertification Analyst - Pain Management Clinic

CoxHealth

Precertification Specialist (Remote) Facility: Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802. Division: 1672 PAS Financial Clearance Enterprise. Hours: 40 per week (8:30–5:00). Shift: Day Shift (United States of America). Job Responsibilities Obtains authorizations from insurance companies for scheduled tests and procedures, providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites. Education and Experience Education – Required: High School Diploma or Equivalent. Education – Preferred: Medical Assistant Degree. Experience – Required: 1 year related experience. Experience – Preferred: 6 months experience with medical terminology. Skills Strong analytical/problem‑solving skills. Effective communication with different levels of management, nursing, physicians, and insurance nurse reviewers. Excellent time management, organization, prioritization, decision‑making, and planning skills. Flexibility and ability to work in a multi‑tasking environment. Ability to understand and interpret insurance benefits. Proficiency with multiple computer programs and multiple insurance websites. Licensure/Certification/Registration Not applicable. Benefits Medical, Vision, Dental, and retirement with employer match (20+ hrs weekly). #J-18808-Ljbffr CoxHealth

Vacancy posted 3 days ago
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