Job DetailsJob Location: Harlingen, TX 78550Position Type: Full Time RegularSalary Range: $18.45 - $18.45Job Summary: The Career Support Specialist administers services for the Reemployment Services and Eligibility Assessment (RESEA) program which targets Unemployment Insurance (UI) claimants who are most likely to exhaust benefits and be in need of reemployment services. The Career Support Specialist – Reemployment is responsible for engaging UI claimants to provide an array of resources that support reemployment. Staff will also connect UI claimants with career services, including co-enrollments in the Workforce Innovation and Opportunity Act (WIOA) program, as appropriate. Essential Functions: Conduct outreach to eligible UI claimants to notify them of the requirement to report in person to a WFS Cameron center to receive an orientation of WFS Cameron services and register in WorkInTexas (WIT) Conduct UI eligibility assessment and referral to adjudication, as appropriate, if an issue or potential issue(s) is identified. Provide labor market and career information that addresses the claimant’s specific needs. Enroll UI claimants in Wagner-Peyser funded Employment Services. Develop or revise a tailored individual reemployment plan that includes work search activities, accessing services provided through a WFS Cameron center or using self-service tools, and/or approved training to which the claimant acknowledges agreement; and Provision of at least one additional career services, such as: Referrals and coordination with the workforce activities, including the WIOA Dislocated Worker program; Labor Exchange, including information about in-demand industries and occupations and/or job search assistance; Information about the availability of supportive services; Information and assistance with financial aid resources outside of those provided by WIOA; Financial literacy services; or Career readiness activities, including assistance with resume writing and/or interviewing. Review WIT applications for completeness and quality; provide technical assistance on WIT, as needed. Refer and guide applicants to suitable employment. Maintain customer data and documentation in WIT. Other Functions: Monitor center customer flow and assist visitors appropriately. Able to react to change productively and handle other essential tasks as assigned. QualificationsQualifications and Requirements: Two years of full-time qualifying experience in gathering information, interviewing, or counseling; in the instruction, demonstration, and interpretation of policies in a public or private enterprise; in direct social work; in eligibility determination; or in workforce development programs. Fifteen semester hours of accredited college work may be substituted for each six months of required experience. Must have good computer skills, including experience with MS Office suite Must have excellent verbal and written communication skills, demonstrated customer service skills. Must be able and willing to work remotely as needed. Preferred: Previous experience with WIT software system. Bilingual (English/Spanish). Physical Demands: Must be able to read, write, and communicate both verbally and in written form to express and exchange ideas. While performing the responsibilities of this job, the employee must be able to access all components of work station and other office equipment. Frequent typing, writing, bending and twisting. Must be able to lift up to 10 pounds. Work Environment: Includes both a typical office environment, with minimal exposure to excessive noise or adverse environmental issues, and local travel, including exposure to heat, cold, inclement weather conditions, and occasional environmental hazards. Compliance Agreement: I have read the above, and understand that it is intended to describe the general content of and requirements for performing this job. It is not an exhaustive statement of duties, responsibilities or requirements. I understand that reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. I also understand that my job description is subject to change and that this description does not preclude my supervisor's authority to add or change duties or responsibilities.

Job Description: Summary: The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily activities for COBRA and Third-Party Premium Billing Administration to ensure regulatory requirements & established standards and deadlines are met. Essential Accountabilities: Client Team • Serves as a point of contact for clients and brokers in relation to the day-to-day operational tasks including, but not limited to, responding to client and broker inquiries/requests; scheduling, facilitating, and delivering client reporting; processing member refund requests; managing open enrollment requests; monitoring member grace periods, managing member payment requests, reviewing and reporting on member payment status. • Responds to client/broker inquiries on a timely basis within department service standards. Notifies and educates clients of any rules or regulation changes. • Conducts webinar demonstrations and supports client and broker training of the software system and portal functionality. • Manages the rate renewal process for assigned clients. • Participates in client and broker requested conference calls. File Team and Enrollment • Responsible for the processing of the inbound and outbound departmental file exchanges within the services standards. Files are primarily membership files that require adding, updating, or deleting subscriber group data within the software system. Responsible for processing any identified error or no-load files. • Responsible for the coordination and execution of the daily carrier file for member coverage reinstatements, changes, and terminations. • Coordinates and collaborates will the LBS EDI team to proactively identify and resolve any file errors. • Communicate with client, broker, or vendor(s) to resolve file related processing issues. • Supports the process of establishing and testing new client files. • Monitors and documents each respective carrier preferred eligibility process. • Works with Carriers to assure all billing activities meet the needs of the client and the carrier. Level I • Maintains knowledge of rules, regulations, policies, and benefits governing COBRA and Premium Billing. • Administers group plans in accordance with all appropriate regulations and process all activity within service time standards. • Supports customer service team in answering or researching member inquiries. Researches, interprets, and responds to inquiries in a professional and efficient manner using problem solving skills. • Processes member requests not facilitated through software vendor, including but not limited to member payments, banking forms, enrollment and termination forms. • Assists in system and release testing and troubleshooting. • Performs departmental and team functions according to established desk level procedures (DLP). Participates in the development, updating, and monitoring of DLP. • Participates in ongoing training to further knowledge of regulations, software systems, policies and procedures, and develops skills to accurately fulfill requirements of the job. • Consistently meets the established departmental and team productivity metrics. Successfully satisfies the assigned tasks and standards of the inter-departmental team assignments. • Maintain current knowledge of LBS policy and procedures. • Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution’s mission and values, adhering to the Corporate Code of Conduct and, leading to the Lifetime Way values and beliefs. • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. • Regular and reliable attendance is expected and required. • Performs functions as assigned by management. Level II (in addition to Level I Accountabilities) • Performs advanced research and resolution of inquiries and adjustments on behalf of clients, brokers or carriers. • Assists in resolution of escalated or systematic issues. Proactively identifies error trends. • Assists in client audits and data comparisons. • Services strategic accounts as well complex COBRA and Premium Billing accounts. • Serves as a resource to other team members. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I • High School diploma or equivalent. Associate degree in business administration or related field preferred. • Two or more years of related experience. • Knowledge of COBRA rules and regulations preferred. • General understanding of medical, dental, vision, and Medicare benefits. • Excellent problem solving, reasoning, and organizational skills. Ability to manage multiple projects. • PC experience including knowledge of Microsoft Word and Excel. • Excellent oral and written communication skills. • Ability to communicate effectively while working collaboratively and maintaining positive relationships with clients. • Ability to work in a team environment as well as independently. Level II (in addition to Level I Qualifications) • Four or more years of experience working in COBRA and Premium Billing industry. • Strong knowledge of COBRA and Premium Billing rules and regulations. • Demonstrated problem solving and ability to resolve complex inquiries or escalated situations. • Advanced knowledge of departmental software system and Excel. Physical Requirements: • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time. • The ability to hear, understand, and speak clearly while using a phone, with or without a headset. ************ One Mission. One Vision. One I.D.E.A. One you. Together we can create a better I.D.E.A. for our communities. At the Lifetime Healthcare Companies, we’re on a mission to make our communities healthier, and we can’t do it without you. We know diversity helps fuel our mission and that’s why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity. We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply. OUR COMPANY CULTURE: Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Minimum: $20/hr - Maximum: $26.90/hr The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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. 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 Under general supervision, the Credentialing Specialist is responsible for all functions relating to the credentialing and recredentialing of practitioner applicants. Thus, ensuring the plan provider network consists of practitioners that meet the regulatory criteria to minimize liability to the company and to maximize safety for members. Essential Duties & Responsibilities Responsibilities include data entry, data collection, verification of credentials from primary source and analyzes information collected according to Curana Health policies and procedures. Maintains a high level of confidentiality of practitioner information. Duties to include any combination of the following: - Maintain confidentiality regarding legal matters, privacy issues, information technology and data integrity - Perform detailed and thorough review of applications for completeness - Conducts, maintains, and analyzes Primary Source Verifications (PSV) as outlined in the organization policies while meeting production goals - Recognize potential discrepancies and adverse information, and independently investigate and validate information from applications, primary source verifications, or other sources - Communicates with health care practitioners to clarify questions and request any missing information - Conducts follow-up on application requests and outstanding PSVs, following department guidelines and production goals - Maintains credentialing software database by ensuring that data entered is complete and accurate - Communicates with internal and external customers in a clear, concise manner to obtain or provide necessary information - Compile, evaluate, and present the practitioner-specific data collected for review by the Credentials Committee - Creates and sends formal approval, requests for information and termination notices to practitioners based on Credentials Committee decisions - Requests recredentialing applications from practitioners and organizational providers - Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants - Conducts ongoing monitoring of provider expirables such as license, DEA and malpractice insurance - Reviews and processes assigned federal/state and license sanctions and exclusions reports to determine if practitioners have sanctions/exclusions - Reviews and processes assigned NPDB Continuous Query reports and takes appropriate action when new reports are found - Assists with Delegation Oversight audit reviews, tracking and reporting. Qualifications Skills & Requirements - High school diploma required; Associate degree preferred - 1-4 years of hospital or insurance plan credentialing experience - Working knowledge of Joint Commission, NCQA, URAC, HFAP standards - Certified Provider Credentialing Specialist (CPCS) preferred

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. 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 Under general supervision, the Credentialing Specialist is responsible for all functions relating to the credentialing and recredentialing of practitioner applicants. Thus, ensuring the plan provider network consists of practitioners that meet the regulatory criteria to minimize liability to the company and to maximize safety for members. Essential Duties & Responsibilities Responsibilities include data entry, data collection, verification of credentials from primary source and analyzes information collected according to Curana Health policies and procedures. Maintains a high level of confidentiality of practitioner information. Duties to include any combination of the following: - Maintain confidentiality regarding legal matters, privacy issues, information technology and data integrity - Perform detailed and thorough review of applications for completeness - Conducts, maintains, and analyzes Primary Source Verifications (PSV) as outlined in the organization policies while meeting production goals - Recognize potential discrepancies and adverse information, and independently investigate and validate information from applications, primary source verifications, or other sources - Communicates with health care practitioners to clarify questions and request any missing information - Conducts follow-up on application requests and outstanding PSVs, following department guidelines and production goals - Maintains credentialing software database by ensuring that data entered is complete and accurate - Communicates with internal and external customers in a clear, concise manner to obtain or provide necessary information - Compile, evaluate, and present the practitioner-specific data collected for review by the Credentials Committee - Creates and sends formal approval, requests for information and termination notices to practitioners based on Credentials Committee decisions - Requests recredentialing applications from practitioners and organizational providers - Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants - Conducts ongoing monitoring of provider expirables such as license, DEA and malpractice insurance - Reviews and processes assigned federal/state and license sanctions and exclusions reports to determine if practitioners have sanctions/exclusions - Reviews and processes assigned NPDB Continuous Query reports and takes appropriate action when new reports are found - Assists with Delegation Oversight audit reviews, tracking and reporting. Qualifications Skills & Requirements - High school diploma required; Associate degree preferred - 1-4 years of hospital or insurance plan credentialing experience - Working knowledge of Joint Commission, NCQA, URAC, HFAP standards - Certified Provider Credentialing Specialist (CPCS) preferred