Care Coordinator
Citizens Memorial
Citizens Memorial Hospital (CMH) is hiring a Care Coordinator to join our Care Coordination Department at our Dallas County Family Medical Center in Buffalo, Missouri - someone who leads with skill, compassion, and a drive to positively impact every patient and family we serve.
Position Details
- Status: Full Time
- Work Shift: Days
- Hours: Mon-Fri, 8:00a.m- 4:30p.m
As a Clerk, you will be:
- Coordinating, obtaining, and documenting prior authorizations for diagnostic imaging services ordered by primary care providers.
- Ensuring timely approvals of imaging studies, reducing delays in patient care, and supporting clinic operations by serving as the primary liaison between providers, insurance payers, imaging facilities, and patients.
- Reviewing imaging orders (MRI, CT, Ultrasound, Xray, PET, etc.) for completeness and medical necessity requirements.
- Submitting prior authorization requests to insurance payers via portals, fax, or phone.
- Tracking authorization statuses and following up proactively to prevent delays.
- Documenting all authorization activities in the EMR and/or practice management system.
- Verifying coverage, benefits, and payer-specific requirements for imaging services.
- Communicating authorization outcomes, additional documentation needs, or payer requests to ordering providers.
- Assisting providers with clinical documentation requirements to support medical necessity.
- Notifying clinic staff of authorization approvals, denials, or pending items.
- Ensuring all authorization activities meet regulatory, payer, and organizational standards.
- Maintaining accurate logs, tracking spreadsheets, and audit-ready documentation.
- Protecting patient privacy and complying with HIPAA regulations.
Experience: Preferred 3 years clinical or other healthcare experience
Skills: Customer service, medical terminology
Licensure/Certification: N/A
Physical Requirements: Ability to work at a computer 90% of the day and stand for the remaining 10%
Benefits That Support You
- Competitive wages, annual merit increases, employee wellness program
- For a comprehensive list of benefits, please click here: CMH benefits.
- CMH is a three-time recipient of the Missouri Quality Award.
- 2025 Chest Pain-MI Platinum Award
- Springfield Business Journal awards include multiple years as an Economic Impact Award nominee and being honored in the Dynamic Dozen for being one of the top 12 fastest-growing companies in southwest Missouri.
- Click here to see the full list of awards for CMH!
Recruiter Contact Kaylie Sappington
Phone: View phone number on click.appcast.io
Email: View email address on click.appcast.io
Vacancy posted 3 days ago
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