Qualfon · 13 hours ago
Benefits & Billing Specialist
32707
Full-time
Onsite
Entry Level
$17.50/hr - $17.50/hr
2+ years expQualfon is focused on delivering engaging interactions and positive experiences. They 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.
Business DevelopmentOutsourcing
Responsibilities
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
Qualification
Required
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
Company
Qualfon
Qualfon has a strong track record of customer service and back-office processing growth.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Abelardo Torres
Managing Director Philippines
Alfonso Gonzalez
Founder & Owner
Recent News
Research and Markets
2025-05-30
2024-02-03
Company data provided by crunchbase