Care Coordinator

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.

• Status: Full Time
• Work Shift: Days
• Hours: Mon-Fri, 8:00a.m- 4:30p.m

Care Coordination provides support to patients by helping with navigating the healthcare system and facilitates care both inside and outside the patient's 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.

• Reviewing imaging orders (MRI, CT, Ultrasound, X‑ray, 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.

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%

• Competitive wages, annual merit increases, employee wellness program

CMH includes 34 primary and specialty clinics, six long‑term care facilities, and one residential care facility. We provide acute care, emergency services, ambulatory care, surgical services, pharmacies, walk‑in clinics, addiction recovery, therapies, and more — all grounded in exceptional, community‑focused 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.
• to see the full list of awards for CMH!

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