Remote Enrollment Specialist (Back Office)

Our Qualfon Mission:

Qualfon's mission is to help as many people as possible pursue their total vocations as individuals and as members of society-by creating an ever-growing number of job opportunities. Everything we do at Qualfon is rooted in a deep sense of meaning and purpose: to be the best and improve the lives of each person we encounter.

What We Offer

All team members can further their education and earn a college degree through Qualfon University
• Our fantastic team members and supervisors embrace and live the Qualfon Mission & Values
• Team members have FREE access to personal and professional support through our care coaches.
• Set schedules majority of shifts are 40 hours per week.
• Medical, dental benefits, vision, and life & accident insurance for full-time employees
• Paid Time Off (PTO)

• Support provider enrollment, maintenance, and renewal activities for the Florida Medicaid program.
• Primary responsibilities include reviewing and processing Medicaid provider enrollment applications, renewals, and maintenance requests according to Florida Medicaid approved guidelines, ACA, and other federal requirements and procedures.
• Interact with team members, management, and customers regarding customer service issues.
• Review and recommend modifications to procedures and workflow to ensure efficient and effective processing of transactions.
• Perform other duties as assigned.

• A high school diploma or equivalent is required; a two-year post-secondary degree is preferred.
• Healthcare enrollment or credentialing experience desired
• Ability to follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
• Strong self-motivation, time management, and organizational skills.
• Excellent written and verbal communication skills in English and another language.
• 3 years of experience in healthcare or related fields preferred.
• Proficient in PC use and basic Microsoft Office skills.

• 100% attendance during training.

Work at Home Requirements

• High-speed Internet via wired ethernet connection, no Wi-Fi, Satellite or Cellular Hotspot or Cellular Internet.
• Upload speed of 5 Mbps; Download speed of 50 Mbps
• The Internet service provider (ISP) must be highly stable with 1% or less packet loss Latency under 100ms.
• All Hires must have an available cell phone or tablet and be able to install our required 2FA software for Multifactor authentication on that device.
• Qualfon will provide all or some of the equipment needed based on the employees' request.

Additional Requirements:

• You must reside in the state of Florida

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.

To complete a Voluntary Self-Identification of Disability Form, please visit our website at Qualfon. com/https://jobs.qualfon.com/

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.