Telehealth Care Coordinator (Onsite)

Qualfon • Casselberry, FL

4d • Onsite

About The Position

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

This position is onsite at 105 Live Oaks Gardens, Casselberry, FL 32707. Hours of operation are Monday through Friday, 8:00 a.m. to 8:00 p.m. EST. The listed pay rate is $19.50 per hour.

Requirements

• High school diploma or GED required.
• Four to six 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.
• At least 18 years of age.
• Typing speed of 25 WPM with 90% accuracy.
• Proficiency in MS Office: Word, Outlook, and Excel.
• Ability to handle multiple tasks as assigned.

Nice To Haves

• Associate's or Bachelor's degree.
• Experience in office, hospital, clinic, or home healthcare settings.
• Exposure to technology implementation and process improvement initiatives.
• Knowledge of complex medical products and insurance workflows.
• Experience drafting and submitting insurance appeals.

Responsibilities

• 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 This Job Offers

• Job Type: Full-time
• Education Level: High school or GED