Remote Provider Support Specialist (Claims & Enrollment)

Curana Health; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

Curana Health is seeking a Provider Support Specialist to be the primary contact for providers, delivering high-quality support across Provider Support and Non-Clinical Utilization Management. You will be cross-trained to handle inquiries from both areas, ensuring timely and knowledgeable assistance.

Responsibilities include responding to provider inquiries with professionalism, researching and resolving claim and payment questions, assisting with enrollment and credentialing status updates, and

Qualifications

• 2+ years in healthcare contact center or customer service.
• Knowledge of Medicare claims, Managed Care, Medicare Advantage, or Medicaid preferred.
• Excellent communication and problem-solving skills.

Responsibilities

• Respond to provider inquiries with professionalism and accuracy.
• Research and resolve claim and payment questions; assist with enrollment and credentialing status updates, and verify eligibility and benefits.
• Document and track interactions to ensure quality and compliance.

Skills

Healthcare CS

Provider support

Communication

Education

High school diploma

Tools

CRM software

Job description

Curana Health is seeking a Provider Support Specialist to be the primary contact for providers, delivering high-quality support across Provider Support and Non-Clinical Utilization Management. You will be cross-trained to handle inquiries from both areas, ensuring timely and knowledgeable assistance.

Responsibilities include responding to provider inquiries with professionalism, researching and resolving claim and payment questions, assisting with enrollment and credentialing status updates, and