More jobs:
Resolution Specialist
Job in
St Charles, Saint Charles, St. Charles County, Missouri, 63301, USA
Listed on 2026-03-07
Listing for:
CoxHealth
Contract
position Listed on 2026-03-07
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Consultant
Job Description & How to Apply Below
Location: St Charles
Location
Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, 65802
Department1722 Cox Health Network
ScheduleWeekly
Hours:
40
Hours:
40
Work Shift:
Day Shift (United States of America)
Cox Health is a leading healthcare system serving 25 counties across Southwest Missouri and Northern Arkansas. The organization includes six hospitals, five ERs, and over 80 clinics. Cox Health 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 by Newsweek
- Recognized as a 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
- Ranked among the Best Employers by State for Missouri
- Healthcare Innovation's Top Companies to Work for in Healthcare in 2025
- Medical, Vision, Dental, Retirement Plan with employer match, and many more!
- For a comprehensive list of benefits, please :
Benefits | Cox Health
The Contract Resolution Specialist’s primary function is to assist network providers with any contractual issues. The Specialist also acts as a trainer/educator of all Cox Health Network contracts to network providers and their staff.
Responsibilities- Assist providers with contract resolution, delivery, and interpretation of policy and procedure changes.
- Communicate regulatory changes related to the insurance industry.
- Research new technology with respect to payor medical necessity and coverage.
- Perform initial and recredentialing on‑site reviews and chart audits.
- Maintain contacts and provide educational information to the network, tertiary/affiliate PHO networks that impact over 3,000 providers/facilities.
- Organize, prioritize, and multi‑task to execute projects and day‑to‑day workflow.
Required
- High School Diploma or Equivalent
- 3‑5 years of experience in provider office, healthcare billing, healthcare insurance and/or managed care industry
Preferred
- Bachelor’s in a related field
- Previous experience in provider relations and/or physician office management
- Ability to understand complex multi‑provider payor contract agreements and determine compliance standards being adhered to.
N/A
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