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Member Services Specialist (Part Time $12:00 pm - 4:00 pm EST)

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 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, and ensuring timely follow-up. The position also supports positive member and provider relations, collaborates across departments to address service issues, and contributes to contact center documentation.

Essential Duties & Responsibilities

Responds to Member/Provider questions via telephone and written correspondence regarding Medicare benefits, enrollment questions, change requests, eligibility, and claims.
Analyzes problems and provides information/solutions.
Utilizes internal systems to obtain and extract information, documents information, activities, and changes in the database.
Thoroughly documents inquiry outcomes for accurate tracking and analysis.
Develops and maintains positive member/provider relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner.
Researches and analyzes data to address operational challenges and member/provider service issues.
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.

Qualifications

H.S. graduate or GED;
Heath 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

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).

We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas.

This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

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