Medical Resource Specialist

Skaggs Community Hospital Association; Springfield (MO); Sur place; USD 42 000 - 54 000; Plein temps

Avantages offerts par ce poste

Medical, Vision, Dental

Retirement with Employer Match

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Verbal & written communication

Team collaboration

Self-motivation

Office software proficiency

Typing skills

Medical terminology

Phone skills

Organizational skills

Formation

High school diploma

Outils

Microsoft Word

Microsoft Excel

PowerPoint

Description du poste

Facility:

CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807

Department:

1754 CHP Medical Department

Scheduled Weekly Hours:

40

Hours:

8a-5p

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, 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:

The Medical Resource Specialist (MRS) is responsible for performing the administrative duties associated with services required by the Nurse Reviewer (NR) for the utilization process and other department procedures. The MRS role serves as a liaison between Cox HealthPlans (CHP), providers, and the member to ensure that requests have been processed in an accurate and timely manner. The role functions to promote effective utilization of product lines in accordance with the plan provisions and department guidelines while minimizing unfavorable expenditures. Note: The Medical Department requires its entire staff to carry out their duties in an accurate, timely, and professional manner.

Education:

• Required: High School Diploma or Equivalent Required

Experience:

• Preferred: 3-5 Years Related Experience

Skills:

• Excellent verbal and written communication skills.
• Able to work independently and collaboratively in teams.
• Self starter, highly motivated, and ability to work on multiple tasks with multiple deadlines
• Fluent in all typical office software programs (Word, Excel, and PowerPoint)
• Excellent typing skills
• Knowledge of basic medical terminology
• Strong phone skills
• Excellent organizational skills

Licensure/Certification/Registration:

• N/A