Telehealth Care Coordinator (Onsite)

This role utilizes critical thinking, problem-solving, and case management expertise to navigate complex approval, denial, and appeal pathways, helping patients access prescribed care while minimizing financial barriers and ensuring reimbursement compliance. 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.

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.

Responsibilities:

We are seeking a patient-focused Case Managers who serve as the primary point of contact for patients, providers, payers, and internal stakeholders throughout the authorization and reimbursement process. This role utilizes critical thinking, problem-solving, and case management expertise to navigate complex approval, denial, and appeal pathways, helping patients access prescribed care while minimizing financial barriers and ensuring reimbursement compliance.

 

 

Must be able to work onsite: 105 Live Oaks Gardens, Casselberry, FL 32707**

 

Hours of Operation: Monday-Friday: 8:00am-8:00pm EST 

 

Qualifications:

What You’ll Do:

• Serve as the primary contact for patients, providers, payers, and internal teams.
• Manage cases through authorization, denial, and appeal processes to ensure timely patient access.
• Review documentation and submit authorization requests in accordance with payer requirements.
• Coordinate with clinical, reimbursement, and client teams to resolve coverage and access barriers.
• Provide case updates and collaborate with stakeholders to achieve successful outcomes.
• Connect patients with financial assistance and other support resources as needed.
• Advocate for patients while delivering exceptional customer service.
• Manage the full case lifecycle from intake through resolution.

 

 

What You’ll Bring:

• High school diploma or GED required, Associate's or Bachelor's degree preferred.
• 4 to 6 years of experience in healthcare, medical insurance, or a customer service-driven healthcare environment.
• Strong documentation skills, including maintaining detailed client records and tracking service outcomes.
• Experience in office, hospital, clinic, or home healthcare settings preferred.
• Exposure to technology implementation and process improvement initiatives is a plus.
• Knowledge of complex medical products and insurance workflows preferred.
• Experience drafting and submitting insurance appeals strongly preferred.
• Must be at least 18 years of age.
• Typing speed of 25 WPM with 90% accuracy required.
• Proficiency in MS Office: Word, Outlook & Excel
• Ability to handle multiple tasks as assigned.

 

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.

Pay Range: USD $19.50 - USD $19.50 /Hr.