Precertification Analyst VA

Facility: Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802 Department: 1672 PAS Financial Clearance Enterprise Scheduled Weekly Hours: 40 Hours: 8:30 AM - 5:00 PM Work Shift: Day Shift (United States of America) CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence: Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbes as one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation's Top Companies to Work for in Healthcare in 2025. Benefits Medical, Vision, Dental, Retirement Plan with employer match, and many more! For a comprehensive list of benefits, please click here: Benefits | CoxHealth Job Description: The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/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: ▪ Required: High School Diploma or Equivalent ▪ Preferred: Medical Assistant Degree Experience: ▪ Required: 1 Year VA/TriWest Related Experience ▪ Preferred: 6 months experience with medical terminology Skills: ▪ Strong analytical/problem solving skills. ▪ Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers. ▪ Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills. ▪ Flexibility and ability to work in a multi-tasking environment. ▪ Ability to understand and interpret insurance benefits ▪ Ability to understand multiple computer programs and multiple insurance websites. Licensure/Certification/Registration: ▪ N/A Looking for Physician Opportunities? Please follow this link. Are you ready to make a meaningful impact in your community? At CoxHealth, we don’t just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non-clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients. OUR MISSION To improve the health of the communities we serve. OUR VISION To be the best for those who need us. OUR VALUES Safety, compassion, respect, and integrity. Join our Talent Network and our recruitment team will get in touch if there's a role that seems like a good match. CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.