[Hiring] Member Services Specialist @Curana Health

Role Description

The role involves responding to member and provider inquiries related to Medicare benefits, eligibility, claims, and enrollment through phone and written communication. Responsibilities include:

• Analyzing and resolving issues.
• Documenting outcomes.
• Maintaining accurate records in internal systems.
• Ensuring timely follow-up.
• Supporting positive member and provider relations.
• Collaborating across departments to address service issues.
• Contributing to contact center documentation.

Qualifications

• H.S. graduate or GED.
• Health insurance experience required.
• Medicare experience preferred; Medicare Advantage plans experience is a bonus.
• Customer service and call center experience preferred.
• Proficient written and oral communication skills required.
• Compliance, at all times, with CMS regulations regarding Medicare Advantage Plans.
• Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team.
• Exceptional organizational skills.
• Proficiency in computer skills including Microsoft Office Suite products.

Requirements

• Requires knowledge of health insurance benefits.
• Seeks, understands, and responds to the needs and expectations of internal and external customers.
• Create and manage documentation specific to contact center.
• Other duties as assigned.

Company Description

Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents.