Care Coordinator: Imaging Auth & Patient Access

Citizens Memorial; Buffalo (MO); Presencial; USD 42.000 - 56.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive wages

Annual merit increases

Employee wellness program

Descripción de la vacante

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.

Formación

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

Responsabilidades

• 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.

Conocimientos

Customer service

Medical terminology

Educación

High School diploma or equivalent

Descripción del empleo

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.