CoxHealth Prior Auth Specialist - MA III/Pharmacy (Department Only) Job at CoxHealth, Springfield, MO

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  • CoxHealth
  • Springfield, MO

Job Description

Summary

About Us

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 in Health Care by Newsweek .
  • Named one of America’s Greatest Workplaces by Newsweek in 2024.
  • Recognized as the Greatest Workplace for Women in both 2023 and 2024.
  • Listed as one of the Greatest Workplaces for Diversity in 2024.
  • Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
  • Ranked among the Best Employers by State for Missouri.
  • Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

Benefits

  • Medical, Vision, Dental, Retirement Plan with employer match, and many more!
  • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Medical Assistant III

Job Summary

The role of the Prior Auth Specialist MA III is to centrally coordinate obtain, review, and track prior authorizations for medications and durable medical equipment. The goal of the Prior Auth Specialist MA III is to work with all Cox Medical Group clinics in order to complete prior authorizations through the various methods that required by insurers.

Job Requirements

  • Education
    • Required: High School Diploma or Equivalent
    • Required effective 9/1/20: Graduated from a formal MA training program that included pharmacology class, anatomy/physiology, the basics of medication administration, and completion of a clinical externship.
  • Experience
    • Required: At least two years' experience as a Medical Assistant
    • Preferred: Previous experience in work that involved direct contact with people
    • Preferred: Previous experience in an ambulatory clinic setting
  • Skills
    • Strong customer service skills when working with various staff members
    • Have professional verbal and written communication skills
    • Ability to work independently and be self-directed to complete prior authorizations in a timely manner
    • Possess excellent time management skills
    • Proficient using computers, including all Microsoft programs
    • Promote the mission and values of CoxHealth
  • Licensure/Certification/Registration
    • Required: Current American Heart Association (AHA) BLS certification or obtained within 90 days of hire
    • Required: Certification or Registration from a CoxHealth approved certification program: CMA/AAMA, RMA/AMT, CCMA/NHA, NRCMA/NAHP, NCMA/NCCT, RMA/AAMP.

Pharmacy

Job Summary

The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs. The goal of the Prior Authorization Specialist is to work with other departments in order to complete prior authorizations through the various methods that are required by insurers.

Job Requirements

  • Education
    • Required: High School Diploma or Equivalent
  • Experience
    • Required: One year customer service or pharmacy experience
    • Preferred: At least one year experience as a Pharmacy Technician
  • Skills
    • Strong customer service skills when working with various staff members.
    • Have professional verbal and written communication skills.
    • Ability to work independently and be self-directed to complete prior authorizations in a timely manner.
    • Possess excellent time management skills.
    • Proficient using computers, including all Microsoft programs and promote the mission and values of CoxHealth
  • Licensure/Certification/Registration
    • Preferred: Registered with Missouri State Board of Pharmacy Technician OR application completed upon hire and obtained within 90 days of hire.

Job Tags

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