Provider Enrollment Coordinator

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

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.

Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. 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

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.