Medical Resource Specialist

CoxHealth; Springfield (MO); Presencial; USD 42 000 - 54 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical benefits

Vision/Dental coverage

Retirement with employer match

Resumo da oferta

CoxHealth Plans is seeking a Medical Resource Specialist to support the utilization process and departmental procedures. You will act as a liaison among CHP, providers, and members to ensure accurate, timely processing of requests and adherence to plan guidelines.

The role requires excellent verbal and written communication, independence, and the ability to manage multiple tasks with deadlines in a healthcare setting.

Qualificações

• High School Diploma or equivalent required.
• 3-5 years related experience preferred.
• Excellent verbal and written communication skills.

Responsabilidades

• Perform administrative duties associated with utilization processes and department procedures.
• Serve as liaison between Cox HealthPlans, providers, and members to ensure timely processing of requests.
• Promote effective utilization of product lines in accordance with plan provisions and guidelines.

Conhecimentos

Communication skills

Independent work

Multitasking

Microsoft Office

Typing skills

Medical terminology

Phone skills

Organizational skills

Formação académica

High School Diploma or Equivalent

Ferramentas

Word

Excel

PowerPoint

Descrição da oferta de emprego

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.

• 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

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