Medical Resource Specialist

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

1754 CHP Medical Department

40

8a-5p

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).

 

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