Medical Resource Specialist

L.E. Cox Medical Centers; United States; Sur place; USD 42 000 - 64 000; Plein temps

Avantages offerts par ce poste

Medical

Vision

Dental

Retirement with Employer Match

more (20+ hrs/week)

Résumé du poste

CoxHealth is recruiting a Medical Resource Specialist (MRS) to handle administrative duties for nurse reviewer utilization processes and other department procedures. The MRS serves as a liaison between Cox HealthPlans, providers, and members to ensure requests are processed accurately and promptly, supporting compliant utilization of plan provisions.

The role emphasizes clear communication, independence, and teamwork. A high school diploma is required; 3–5 years related experience preferred.

Qualifications

• Required: High School Diploma or Equivalent.
• Preferred: 3-5 Years Related Experience.
• Excellent verbal and written communication skills.
• Knowledge of basic medical terminology.
• Strong phone skills and ability to work independently and in teams.
• Proficient in Word, Excel, and PowerPoint.

Responsabilités

• Serve as liaison between CHP, providers, and members to ensure timely processing of requests.
• Perform administrative duties associated with the utilization process and department procedures.
• Promote effective utilization of product lines in accordance with plan provisions and guidelines.
• Maintain accurate, timely, and professional work practices across tasks.

Connaissances

Communication skills

Teamwork

Self-motivation

MS Office

Typing

Medical terminology

Phone skills

Organizational skills

Formation

High School Diploma

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
• 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

Are you ready to make a meaningful impact in your community? At CoxHealth, we don't just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non-clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients.

OUR MISSION

To improve the health of the communities we serve.

OUR VISION

To be the best for those who need us.

OUR VALUES

Safety, compassion, respect, and integrity.

We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we're here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.