Care Coordinator

Position Details

• Status: Full Time

• Work Shift: Days

• Hours: Mon-Fri 8:00a.m- 4:30p.m

What Your Day Looks Like: Care Coordination provides support to patients by helping with navigating the healthcare system and facilitates care both inside and outside the patients primary care clinic to improve patient outcomes.

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.

Authorization Management

• 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.

Provider & Clinic Support

• 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.

Compliance & Documentation

• 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.

Qualifications:

Education: High School diploma or equivalent

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.

Why CMH

CMH includes 34 primary and specialty clinics six longterm care facilities and one residential care facility. We provide acute care emergency services ambulatory care surgical services pharmacies walkin clinics addiction recovery therapies and more all grounded in exceptional communityfocused healthcare.

• 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!

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Kaylie Sappington

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IC