Demographics Eligibility Specialist
Curana Health, Inc.
At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it.
As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary As a Demographics Eligibility Specialist, you'll be the go-to expert for verifying insurance, maintaining up-to-date patient records, and making sure the billing process runs smoothly. Your attention to detail will help reduce delays, improve accuracy, and ensure patients receive the care they need without unnecessary stress. Essential Duties & Responsibilities- Collaborate with providers and facilities to collect patient face sheets and required information.
- Verify insurance coverage through Onesource or directly with insurance carriers.
- Enter and maintain accurate demographic and insurance data in the billing system.
- Update insurance details for existing patients as needed.
- Manage documentation and process billing in a timely, accurate manner.
- Obtain prior authorizations when required by insurance plans.
- High School Diploma or equivalent required.
- 2+ years of medical billing experience with strong knowledge of insurance processes.
- Experience working with Medicare, Medicaid, private insurance, and managed care plans.
- Proficiency with Excel, Outlook, and general computer skills.
- Strong time management, organizational, and problem-solving skills.
- Detail-oriented, accurate, and dependable with a professional work ethic.
Vacancy posted 5 hours ago
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