Insurance Services Representative at Qualfon Philippines Incorporated

Casselberry, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

06 May, 26

Salary

17.5

Posted On

05 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Insurance Coverage, Benefit Verification, Prior Authorizations, Claim Resolution, Billing Issues, Communication Skills, MS Office Proficiency, Organizational Skills, Multi-tasking, Payer Coordination, Advocacy Skills, Nutrition Knowledge, DME Knowledge, Enteral Nutrition, Medical Foods

Industry

Outsourcing and Offshoring Consulting

Description

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 person’s 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 you're passionate about helping others, apply today and join a team where your voice matters! Must be able to work onsite: 105 Live Oaks Gardens, Casselberry, FL 32707** Qualifications What You’ll 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 You’ll 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 Qualfon.com/join-us EQUAL OPPORTUNITY STATEMENT QUALFON is 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 qualfon-dialogdirectrecruiting@qualfon.com to discuss reasonable accommodations Pay Range USD $17.50 - USD $17.50 /Hr.

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Responsibilities

The Insurance Services Representative will support pediatric nutrition and enteral feeding programs by navigating insurance coverage policies and verifying benefits. This role involves resolving claim and billing issues and helping families understand coverage details.