Demographics Eligibility 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 34 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

 Duties and Responsibilities:

• Work with providers and facilities to obtain patient face sheets
• Perform insurance verification through Onesource or by calling insurance carriers
• Input data into Billing System on new patients
• Ensure accuracy of demographic information
• Update insurance information on existing patients
• Document management
• Process billing timely and accurately
• Obtain Authorization if required by Insurance

Requirements and Qualifications:

• High School Diploma or equivalent 
• Medical Billing experience (2 years minimum)
• Time Management skills
• Proficiency in Excel, Outlook, and internet skills
• Strong analytical and problem-solving skills; high attention to detail
• Proficient with computers, able to enter and process data quickly and accurately
• Punctual, professional and dependable
• Experience with Medicare, Medicaid, Private Insurance and Managed Care Plans.

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.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).

Qualifications