Provider Enrollment Coordinator
Curana Health, New York, NY, United States
Summary
The Provider Enrollment Coordinator supports Curana Health’s medical group by ensuring all employed and contracted providers are properly enrolled and active with required payers, facilities, and regulatory entities. This role plays a critical part in onboarding new rounding providers, maintaining enrollment data accuracy, and ensuring compliance with federal, state, and facility requirements so clinicians can begin seeing patients and billing without delay.
Essential Duties & Responsibilities
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 (e.g., NPPES, PECOS, CAQH, and iCIMS/HRIS) to ensure consistency across platforms.
Partner closely 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 all current providers.
Support reporting, audits, and internal reviews related to provider enrollment and compliance.
Qualifications
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.
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The Provider Enrollment Coordinator supports Curana Health’s medical group by ensuring all employed and contracted providers are properly enrolled and active with required payers, facilities, and regulatory entities. This role plays a critical part in onboarding new rounding providers, maintaining enrollment data accuracy, and ensuring compliance with federal, state, and facility requirements so clinicians can begin seeing patients and billing without delay.
Essential Duties & Responsibilities
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 (e.g., NPPES, PECOS, CAQH, and iCIMS/HRIS) to ensure consistency across platforms.
Partner closely 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 all current providers.
Support reporting, audits, and internal reviews related to provider enrollment and compliance.
Qualifications
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.
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