Virtual Care Coordinator – Pediatrics, Bilingual English/Spanish

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the scheduling task queue for well visits using filters for due, overdue, and upcoming appointments.

• Assess task history prior to taking any actions.

• Arrange age-appropriate well visits and communicate with parents, caregivers, or adult patients through phone, portal, or text.

• Ensure that patients are matched with the correct providers based on their age.

• Keep recall reminders and scheduling tasks updated.

• Retrieve eligible patient lists and Appointment Agendas from the MHS Secure Provider Portal for the Centene CoC+ program.

• Match eligible patients with upcoming appointments and schedule those who have not had a visit this year.

• Review CoC+ lists monthly as agenda items are refreshed.

• Extract and upload CoC+ agendas prior to eligible patient visits.

• Add CoC+ chart alerts for in-office personnel.

• Examine completed agendas for any unanswered items.

• Enter documented agenda responses and diagnoses into the portal precisely as recorded.

• Electronically submit CoC+ agendas and monitor completion rates by provider against an 80% target.

• Generate care-gap reports from Medicaid managed care plans and other payer portals.

• Reach out to families to schedule necessary visits or services.

• Identify open care gaps in patient charts before appointments.

• Monitor and follow up on both open and closed care gaps by payer.

• Assist HEDIS programs by obtaining and submitting medical record documentation.

• Record outreach attempts and outcomes in charts or tasks.

• Communicate effectively with providers, in-office staff, and billing personnel.

• Carry out additional scheduling and care-coordination tasks as assigned.

⛳️ Requirements

• Bilingual in English and Spanish (fluent in both spoken and written forms).

• Comfortable reaching out via phone, text, and messaging to parents and caregivers in either language.

• Exceptional customer service abilities.

• Strong spoken and written communication skills in English.

• Experience in a pediatric practice or pediatric care coordination role.

• Knowledge of age-specific well-child visits.

• Familiarity with EHR task queues and scheduling procedures.

• Experience reviewing patient history prior to taking action.

• HIPAA-trained with a strong awareness of protected health information.

• Highly attentive to detail.

• Available during office hours in Central Time.

• Preferred background in pediatric nursing or a comparable pediatric clinical role.

• Preferred familiarity with U.S. health insurance, particularly Medicaid managed care plans and payer portals.

• Working knowledge of ICD-10, CPT, CPT II, and HCPCS is preferred.

• Experience addressing care gaps for Medicaid and other payer populations, including risk adjustment, is preferred.

• Preferred experience in navigating payer provider portals to extract care-gap reports and patient lists.

🏝️ Benefits

• Competitive hourly wage.

• Timely payments, without exception.

• Payments processed via Wise.

• Comprehensive training provided by the client.

• Dedicated Account Manager as your primary contact.

• Stable, long-term placement with a growing U.S.-based organization.

• Exposure to a variety of modern SaaS platforms.

• Opportunities for increased responsibilities as the company expands.

• Recognition for tenure among long-term team members.

• Clear paths for escalation.

• 100% remote work — operate from home.