Precertification Analyst

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Job Description

  • About Us

    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 in Health Care by Newsweek.
    • Named one of America’s Greatest Workplaces by Newsweek in 2024.
    • Recognized as the 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 in 2023.
    • 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 Summary
    • 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.
  • Job Requirements
    • Education
      • Required: High School Diploma or Equivalent
      • Preferred: Medical Assistant Degree
    • Experience
      • Required: 1 Year 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
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Specialties:

  1. Clerical/Administrative Support

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Why CoxHealth?

Our health system includes six hospitals, over 100 clinics, and 530+ primary and specialty providers serving 25 counties. CoxHealth takes pride in being southwest Missouri’s first hospital system accredited by DNV Healthcare, a distinction awarded for our commitment to quality and patient safety. All six hospitals, along with our outpatient centers and provider-based clinics, have received this national accreditation through DNV’s National Integrated Accreditation for Healthcare Organizations® program.  

Cox Medical Centers is the only facility in the region to receive the American Nurses Credentialing Center (ANCC) Magnet® designation, which recognizes excellence in nursing. We’re consistently identified among U.S. News & World Report’s Best Regional Hospitals for Equitable Access. Additionally, in 2025, CareChex by Quantros® ranked Cox Medical Centers in the top 10% of hospitals nationwide, as well as in our region and state, for medical excellence in overall hospital and surgical care.