Care Coordinator

Citizens Memorial; Buffalo (MO); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive wages

Annual merit increases

Employee wellness program

Job summary

Citizens Memorial Hospital (CMH) in Buffalo, Missouri, is hiring a Care Coordinator to join our Care Coordination Department at the Dallas County Family Medical Center, bringing skill, compassion, and a drive to positively impact every patient and family we serve.

You will coordinate prior authorizations for imaging, ensure timely approvals, and act as the primary liaison among providers, insurance payers, imaging facilities, and patients to keep care on schedule and compliant.

Qualifications

• Education: High School diploma or equivalent.
• Experience: Preferred 3 years clinical or other healthcare experience.
• Skills: Customer service, medical terminology.

Responsibilities

• 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 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.

Skills

Customer service

Medical terminology

Education

High School diploma or equivalent

Job description

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

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 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.

Authorization Management

• 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.

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

Why CMH?

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.
• Click here to see the full list of awards for CMH!

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