Utilization Review Resource Specialist
CoxHealth, Des Moines, IA, United States
Facility
Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802
Department
1665 Utilization Review
Scheduled Weekly Hours
40
Hours
8:00-4:30 PM
Work Shift
Day Shift (United States of America)
About CoxHealth
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, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
Acknowledged by Forbes as one of the Best Employers for New Grads.
Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description
Under the Direction of the program Director, Manager and/or Supervisor, the resource specialist is accountable for facilitating confirming and/or accurately documenting insurance authorization information. The position will respond to the utilization review department and central access department requests for assistance with authorization confirmation and/or entry into the computer system.
Education
High school diploma or equivalent. (Required)
Experience
One year hospital and/or healthcare experience (Preferred).
Skills
Good communication skills – Ability to communicate effectively in written format and/or oral presentations
Strong analytical & problem solving skills; semi-independent in decision making
Ability to maintain organization in a changing environment
Exhibit initiative, responsibility & flexibility
Must be able to initiate and understand research related to projects
Learn and appropriately utilize all required computer applications, including but not limited to E-mail, Windows-based or Microsoft programs
Ability to write effective documentation for processes and procedures
Ability to make routine decisions in accordance with departmental policies and procedures
Licensure/Certification/Registration
N/A
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Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802
Department
1665 Utilization Review
Scheduled Weekly Hours
40
Hours
8:00-4:30 PM
Work Shift
Day Shift (United States of America)
About CoxHealth
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, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
Acknowledged by Forbes as one of the Best Employers for New Grads.
Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description
Under the Direction of the program Director, Manager and/or Supervisor, the resource specialist is accountable for facilitating confirming and/or accurately documenting insurance authorization information. The position will respond to the utilization review department and central access department requests for assistance with authorization confirmation and/or entry into the computer system.
Education
High school diploma or equivalent. (Required)
Experience
One year hospital and/or healthcare experience (Preferred).
Skills
Good communication skills – Ability to communicate effectively in written format and/or oral presentations
Strong analytical & problem solving skills; semi-independent in decision making
Ability to maintain organization in a changing environment
Exhibit initiative, responsibility & flexibility
Must be able to initiate and understand research related to projects
Learn and appropriately utilize all required computer applications, including but not limited to E-mail, Windows-based or Microsoft programs
Ability to write effective documentation for processes and procedures
Ability to make routine decisions in accordance with departmental policies and procedures
Licensure/Certification/Registration
N/A
#J-18808-Ljbffr