Provider Enrollment & Compliance Specialist

Curana Health; Northern (KY); Hybrid; USD 52,000 - 75,000; Full time

Job summary

Curana Health is seeking a Provider Enrollment Coordinator to ensure physicians, nurse practitioners, and physician assistants are properly enrolled and active with required payers and facilities. You will onboard new providers, maintain enrollment data accuracy, and ensure compliance with federal and state requirements so clinicians can begin seeing patients and billing promptly.

Responsibilities include preparing enrollment submissions, managing privileging, and coordinating with

Qualifications

• Minimum 2 years of experience in provider enrollment, credentialing, or healthcare administration.
• Knowledge of Medicare/Medicaid enrollment processes and facility privileging preferred.
• Familiarity with CAQH, NPPES, PECOS, and similar systems strongly preferred.

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.

Skills

Provider enrollment

Credentialing

Healthcare administration

Communication

Education

Associate's degree

High school diploma or equivalent

Tools

CAQH

NPPES

PECOS

iCIMS/HRIS

Job description

Curana Health is seeking a Provider Enrollment Coordinator to ensure physicians, nurse practitioners, and physician assistants are properly enrolled and active with required payers and facilities. You will onboard new providers, maintain enrollment data accuracy, and ensure compliance with federal and state requirements so clinicians can begin seeing patients and billing promptly.

Responsibilities include preparing enrollment submissions, managing privileging, and coordinating with