Medical Resource Specialist

CoxHealth • Springfield, MO

10d • Onsite

About The Position

The Medical Resource Specialist (MRS) performs administrative duties in support of services required by the Nurse Reviewer for the utilization process and other department procedures. The MRS acts as a liaison among Cox HealthPlans, providers, and members to help ensure requests are processed accurately and on time. The role supports effective utilization of product lines in accordance with plan provisions and department guidelines while minimizing unfavorable expenditures. Medical Department staff are expected to perform their duties accurately, promptly, and professionally.

Requirements

• High school diploma or equivalent.
• Excellent verbal and written communication skills.
• Ability to work independently and collaboratively in teams.
• Self-starter who is highly motivated and able to manage multiple tasks with multiple deadlines.
• Fluency with typical office software programs, including Word, Excel, and PowerPoint.
• Excellent typing skills.
• Knowledge of basic medical terminology.
• Strong phone skills.
• Excellent organizational skills.

Nice To Haves

• Three to five years of related experience.

Responsibilities

• Perform administrative duties associated with services required by the Nurse Reviewer for the utilization process and other department procedures.
• Serve as a liaison between Cox HealthPlans, providers, and members to ensure requests are processed accurately and in a timely manner.
• Promote effective utilization of product lines in accordance with plan provisions and department guidelines while minimizing unfavorable expenditures.
• Carry out duties accurately, timely, and professionally.

Benefits

• Medical, vision, and dental benefits.
• Retirement plan with employer match.
• Additional benefits are available to employees working 20 or more hours per week.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED