Provider Enrollment Coordinator

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Curana Health

Curana Health

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Coordinate the end-to-end provider enrollment process for physicians, nurse practitioners, and physician assistants joining the medical group • Prepare and submit enrollment applications to Medicare, Medicaid, and other applicable payers to establish billing privileges • Manage and track facility privileging and attestation requirements across skilled nursing and senior living communities • Maintain accurate provider data within internal systems, including NPPES, PECOS, CAQH, and iCIMS/HRIS • Partner with Credentialing, HR, and Operations teams to align enrollment timelines with provider onboarding and start dates • Follow up with payers, facilities, and providers to obtain missing information or resolve discrepancies • Track enrollment status and communicate progress updates to stakeholders, including Market Operations and Finance teams • Process revalidations, address changes, and terminations to maintain active enrollment status for current providers • Support reporting, audits, and internal reviews related to provider enrollment and compliance

🎯 Requirements

• High school diploma or equivalent required; associate’s degree preferred • Minimum of 2 years of experience in provider enrollment, credentialing, or healthcare administration (preferably within a medical group or multi-site provider organization) • Knowledge of Medicare/Medicaid enrollment processes and facility privileging preferred • Familiarity with CAQH, NPPES, PECOS, and similar systems strongly preferred • Company is unable to provide sponsorship for a visa at this time (H1B or otherwise)

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