Medical Provider Enrollment Specialist

Description

Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 33 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the health care system. Our mission: To radically improve the health, happiness and dignity of senior living residents.

SUMMARY

• Assist new providers in enrollment and credentialing in all applicable insurance carriers
• Re-credential current providers and ensure information is active and up to date
• Follow up with providers and insurance carriers on a weekly basis
• Research Medicare enrollments for new state, HMO
• Maintain various databases and spreadsheets
• Answer questions and concerns from management, providers, billing staff, and outside personnel
• Maintain professional correspondence with all employees and outside personnel
• All other duties as assigned by supervisor and/or management
• Incentive opportunities available after initial 90 days

Competencies

• High Ethical Standards
• Time Management
• Excellent organizational skills
• High attention to detail
• Ability to multi-task

Required Education and Experience

• High School Diploma or equivalent
• Two years’ experience in the Healthcare Industry
• Prior Medical Payer Provider Enrollment experience required

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

Qualifications