This is a real revenue-protection role. If enrollments lag, claims don’t pay. If addresses or TIN/NPI links are wrong, money gets stuck. You’re basically the person who keeps providers “revenue-ready” while the org grows.
About Nira Medical
Nira Medical is a physician-led network focused on neurological care, helping independent practices scale with technology, research opportunities, and operational support.
Schedule
Remote, full-time.
What You’ll Do
⦁ Run end-to-end provider credentialing and payer enrollment (Medicare, Medicaid, commercial)
⦁ Maintain CAQH, NPI, and PECOS updates and manage payer portal applications
⦁ Track expirations, renewals, and enrollment timelines to prevent revenue delays
⦁ Support payer contracting tasks: renewals, rate verification, fee schedule accuracy, contract loads
⦁ Keep credentialing files audit-ready and compliant; support audits and leadership reporting
⦁ Act as liaison between providers, payers, and internal teams to resolve credentialing/contracting issues fast
⦁ Manage operational updates to payers (address changes, Pay-To/Billing changes, NPI/TIN linkages, new locations)
⦁ Partner with RCM, Ops, Billing, Corporate Dev, IT/EMR teams to keep onboarding and expansions smooth
What You Need
⦁ 4+ years in credentialing, payer enrollment, or payer contracting
⦁ 3+ years in revenue cycle / healthcare compliance environment
⦁ Strong knowledge of payer requirements, contract structures, and reimbursement basics
⦁ Process-driven, detail-heavy, and able to work independently
⦁ Strong relationship management and negotiation skills
⦁ Startup/scaling healthcare or MSO/multi-specialty experience is a plus
⦁ CPCS and Athena experience are nice-to-haves, not deal-breakers
Benefits
Not listed in the posting you pasted.
Backbone note: This role is not “admin”. It’s operations + compliance + money. If you apply, your resume needs to scream:
- # of providers enrolled/month
- payers you’ve worked with (Medicare/Medicaid + big commercial names)
- CAQH/PECOS/NPPES experience
- turnaround times and how you prevented/cleared enrollment holds
- examples of address/TIN/NPI fixes that unlocked claims or prevented denials
Happy Hunting,
~Two Chicks…