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Posted 1w ago

Utilization Review Resource Specialist

@ CoxHealth
View All Jobs
United States
RemoteFull Time
Responsibilities:facilitate authorization, document information, respond requests
Requirements Summary:High school diploma; 1 year hospital/healthcare experience preferred; strong communication, analytical, and documentation skills; proficient with computer applications.
Technical Tools Mentioned:Microsoft Office, EHR, Windows
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Job Description

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)

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:
▪ Required: High school diploma or equivalent
Experience:
▪ Preferred: One year hospital and/or healthcare experience
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