Mission Statement

The Children’s Network of Hillsborough is committed to working with the community to protect children and preserve families.

General Purpose of Job

To provide administrative support to the Integrated Health team, with a focus on record requests, Medicaid correspondence, and facilitating care gap closures.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties And Responsibilities

Review immunization status as per Florida SHOTS, Well Child Checkup (WCC) and Dental status as per FLMMIS
Assist supervisor and nurses with on-going care coordination
Request medical/dental records for nurses, follow-up on receipt of records, input uncomplicated medical/dental records into data system and inform nurses if follow up is needed.
Upload records into FSFN and send documents to records team for electronic filing
Update (master) care gap log with measurables
Contact physician offices, pharmacies, insurance companies and other medical providers as needed
Schedule appointments as necessary and requested
Make PCP changes as needed and assist with Medicaid related correspondence
Participate in monthly performance meetings and trainings
Assist with new member announcements and explanation of benefits
Answer, screen, and route telephone calls as needed
Develop HEDIS related educational documents for internal and external stakeholders
Prepare routine correspondence as needed
Other duties may be assigned as special projects may be requested

Working Hours

CNHC’s believes in work life balance for all employees. This is an in-office position, Monday-Friday from 8:00am to 5:00pm averaging forty (40) hours per week. Working hours may vary based on business needs.

Travel

Travel in and outside of Circuit 13 (Hillsborough County) may be required.

Training

All employees are required to complete fifteen (15) hours of training annually, which may be completed online or in a classroom setting. Employees who hold a credential or license relevant to their position must ensure that all training and continuing education requirements are met to maintain their credential or licensure. Additional training coordinated by the Sunshine Health Program Manager will be required.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Education And Experience

High School Diploma or equivalent (G.E.D.), plus (2) years of administrative or secretarial office experience is required. Medical or dental office experience is a plus; and experience working with Medicaid or insurance is preferred.

Skills And Abilities

Possesses exceptional organizational skills, attention to detail, and the ability to manage multiple tasks effectively in a fast-paced environment. Strong verbal and written communication skills are essential for interacting with team members, clients, and stakeholders professionally and efficiently. Must demonstrate proficiency in office software applications, including word processing, spreadsheets, and email management tools, with the ability to learn new technologies as needed. Critical thinking and problem-solving abilities are important for handling unexpected challenges, while a strong sense of discretion and confidentiality ensures the proper handling of sensitive information. Time management skills and the ability to prioritize workloads are key to meeting deadlines and ensuring seamless operations.

Pre-employment Requirements

Certificates, License, Registrations, backgrounds, drug screens, Etc.

Valid driver’s license required, with proof of insurance
Driver’s license check is a requirement
No special certification or registration is required for this position
Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE)
Drug Screening is a requirement
Children’s Network participates in E-Verify

Other Requirements

Language Skills

Should possess strong language skills, including excellent grammar, spelling, and punctuation, to ensure clear and professional communication. Proficiency in reading, writing, and speaking in English is essential, with additional language skills being highly valued for supporting diverse teams and clients. The ability to draft, edit, and proofread documents accurately is critical, as is the capability to interpret and relay information effectively across various communication channels. Strong listening skills are equally important for understanding and addressing the needs of colleagues and stakeholders. A high level of cultural sensitivity and adaptability in communication further enhances the ability to work in a dynamic, multilingual environment.

Mathematical Skills

Should possess basic mathematical skills, including the ability to add, subtract, multiply, and divide with accuracy. Proficiency in managing and interpreting data in spreadsheets, such as calculating totals, percentages, and averages, is essential. Strong organizational skills are required to manage numerical data effectively, and the ability to identify and resolve discrepancies is key.

Reasoning Ability

Must possess strong reasoning and critical thinking abilities to analyze information, identify issues, and develop practical solutions. This includes the capacity to interpret and apply policies, procedures, and instructions to various situations. The candidate should demonstrate sound judgment, adaptability, and the ability to prioritize tasks effectively, even under pressure. Problem-solving skills are essential for addressing unexpected challenges while maintaining a calm and professional demeanor

Physical Demands

The physical demands of this position are generally moderate. The role may require extended periods of sitting, standing, and using a computer. Occasional lifting of office supplies, files, or materials up to 25 pounds may be required. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential job functions.

Work Environment

This is an in-office-based position focused on administrative work, where the noise level may be moderate. This role may involve occasional travel among agency locations, extended periods of computer work, and frequent interactions across multiple departments. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

ADA: Children’s Network of Hillsborough, LLC will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.

EEO: Children’s Network of Hillsborough, LLC does not discriminate based on race, national origin, gender, religion, veteran status, or disability in employment, in provision of services, or in access to programs.

Children’s Network of Hillsborough, LLC is a Drug-Free Workplace.

Remember: If you are currently an employee of Children’s Network of Hillsborough Florida, LLC, or one of our Case Management Organizations, it is necessary that you notify your current Supervisor, prior to applying.

Children's Network of Hillsborough

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