Healthcare Utilization & Resource Coordinator

Skaggs Community Hospital Association; Springfield (MO); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, Vision, Dental

Retirement with Employer Match

Job summary

The Medical Resource Specialist (MRS) at CoxHealth Plans coordinates administrative support for the Nurse Reviewer in the utilization process. You will ensure requests are processed accurately and timely, serving as a liaison between CHP, providers, and members to promote appropriate utilization.

We require a high school diploma and prefer 3-5 years of related experience; strong communication, multitasking ability, and proficiency with Word, Excel, and PowerPoint are essential to success in this

Qualifications

• Requires high school diploma or equivalent.
• Prefer 3-5 years related experience.
• Strong communication, multitasking, and teamwork abilities.

Responsibilities

• Process administrative duties for nurse reviewer in utilization.
• Serve as liaison between CHP, providers, and member.
• Promote efficient utilization of product lines per plan.
• Maintain accuracy and timeliness in processing requests.

Skills

Verbal & written communication

Team collaboration

Self-motivation

Office software proficiency

Typing skills

Medical terminology

Phone skills

Organizational skills

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

The Medical Resource Specialist (MRS) at CoxHealth Plans coordinates administrative support for the Nurse Reviewer in the utilization process. You will ensure requests are processed accurately and timely, serving as a liaison between CHP, providers, and members to promote appropriate utilization.

We require a high school diploma and prefer 3-5 years of related experience; strong communication, multitasking ability, and proficiency with Word, Excel, and PowerPoint are essential to success in this