Benefits & Billing Specialist
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Job Location:
Casselberry, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Overview
At Qualfon we are focused on delivering engaging interactions and positive experiences that leave a lasting impression. When you work here you have the power to make each persons life better.
Our Qualfon Mission is to help as many people as possible pursue their total vocation - as individuals and as members of society - by creating an ever-growing number of job opportunities as we strive to become the partner of choice for our clients
Responsibilities
We are seeking a customer-focused representative to support pediatric nutrition and enteral feeding programs by navigating insurance coverage policies and verifying benefits for formula and related DME. This role supports prior authorizations and renewals resolves claim and billing issues with payers and suppliers and helps families understand coverage details costs and timelines while delivering accurate timely support.
Why You Will Love Working Here:
- Meaningful work that genuinely helps people.
- Consistent weekday schedule no weekends required!
- A supportive team that prioritizes empathy and excellence.
- Opportunities for growth within a stable respected organization.
Ready to Make a Difference
If youre passionate about helping othersapply todayand join a team where your voice matters!
Must be able to work onsite: 105 Live Oaks Gardens Casselberry FL 32707**
Qualifications
What Youll Do:
- Navigate insurance coverage policies for pediatric nutrition and enteral feeding
- Verify benefits for formula and related DME
- Support prior authorizations renewals and benefit limits
- Resolve claim denials and billing issues with payers and DME suppliers
- Help families understand coverage costs and renewal timelines
What Youll Bring:
- High school diploma or GED required college coursework a plus.
- Must be at least 18 years of age.
- 1 year of customer service experience
- Typing speed of 25 WPM with 90% accuracy required.
- Proficiency in MS Office: Word Outlook & Excel
- Effective written and verbal communication skills.
- Ability to obtain organize and present information
- Ability to handle multiple tasks as assigned.
2-5 years experience in health insurance DME or nutrition-related billing
- Experience with enteral nutrition medical foods or DME coverage
- Strong payer coordination and advocacy skills
If you would like to fill out a Voluntary Self-Identification of Disability Form:
Please visit us at OPPORTUNITY STATEMENT QUALFONis an equal opportunity employer. QUALFON provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion gender sex (including pregnancy childbirth and related medical conditions) sexual orientation gender identity national origin age disability genetic information (including testing and characteristics) marital status ancestry status as a covered veteran uniformed servicemember status and any other characteristic protected under applicable federal state or local law.
Qualfon is an equal employment opportunity employer. Alternative methods of applying for employment are available to individuals unable to submit an application through this site because of a disability.
Contact to discuss reasonable accommodations
Pay Range
Required Experience:
IC
Key Skills
- Customer Service
- Fmla
- HIPAA
- Microsoft Outlook
- Benefits Administration
- HRIS
- Payroll
- Employment & Labor Law
- ADP
- Human Resources
- Phone Etiquette
- Workday
