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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in scheduling and care coordination for pediatric patients, with a strong focus on managing well-visit appointments and addressing care gaps. Proficient in bilingual communication and navigating healthcare systems, ensuring compliance with HIPAA regulations.
Highest-signal resume keywords
Bilingual English/SpanishPediatric ExperienceEHR Task Queue ManagementHIPAA ComplianceCare Gap Closure
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Well-Visit SchedulingPatient History ReviewICD-10 KnowledgeCPT KnowledgeCPT II KnowledgeHCPCS KnowledgeCare-Gap ReportingAppointment Agenda ManagementDocumentation in EHRPayer Portal Navigation
Soft Skills
Excellent Customer ServiceStrong Communication SkillsDetail-OrientedComfortable with Outreach
Tools & Technologies
MHS Secure Provider PortalEHR SystemsMedicaid Managed Care Plans
Certifications & Qualifications
HIPAA Training
Industry Keywords
Pediatric Care CoordinationWell-Child VisitsRisk AdjustmentHealth Insurance Familiarity
About the role
Key responsibilities & impact- Manage the well-visit scheduling task queue using due, overdue, and upcoming filters
- Review task history before taking action
- Schedule age-appropriate well visits and contact parents, caregivers, or adult patients by phone, portal, or text
- Ensure patients are scheduled with appropriate providers based on age
- Keep recall reminders and scheduling tasks current
- Pull eligible-patient lists and Appointment Agendas from the MHS Secure Provider Portal for the Centene CoC+ program
- Match eligible patients against upcoming appointments and schedule patients without a visit this year
- Check CoC+ lists monthly as agenda items are updated
- Pull and upload CoC+ agendas before eligible patient visits
- Add CoC+ chart alerts for in-office staff
- Review completed agendas for unanswered items
- Enter documented agenda responses and diagnoses into the portal exactly as documented
- Submit CoC+ agendas electronically and track completion by provider toward an 80% goal
- Pull care-gap reports from Medicaid managed care plans and other payer portals
- Contact families and schedule needed visits or services
- Flag open care gaps in patient charts before visits
- Track and follow up on open and closed care gaps by payer
- Support HEDIS programs by helping pull and submit medical record documentation
- Document outreach attempts and outcomes in charts or tasks
- Communicate with providers, in-office staff, and billing staff
- Perform other scheduling and care-coordination tasks as assigned
Requirements
What you’ll need- Bilingual English/Spanish (fluent spoken and written)
- Comfortable calling, texting, and messaging parents and caregivers in either language
- Excellent customer service skills
- Strong spoken and written English communication skills
- Pediatric experience in a pediatric practice or pediatric care coordination role
- Understanding of age-based well-child visits
- Experience with EHR task queues and scheduling
- Experience reviewing patient history before taking action
- HIPAA-trained and careful with protected health information
- Highly detail-oriented
- Available during office hours in Central Time
- Pediatric nursing background or comparable pediatric clinical role preferred
- Familiarity with U.S. health insurance, especially Medicaid managed care plans and payer portals preferred
- Working knowledge of ICD-10, CPT, CPT II, and HCPCS preferred
- Experience closing care gaps for Medicaid and other payer populations, including risk adjustment preferred
- Experience navigating payer provider portals to pull care-gap reports and patient lists preferred
Benefits
Comp & perks- Competitive hourly rate
- On-time payments, every time
- Payments processed via Wise
- Direct client training provided
- Dedicated Account Manager as your point of contact
- Stable, long-term placement with a growing U.S.-based company
- Exposure to a wide range of modern SaaS platforms
- Potential for increased responsibilities as the company scales
- Tenure recognition for long-term team members
- Clear escalation paths
- 100% remote — work from home
