This role sits inside Revenue Cycle Management and owns the “revenue readiness” lane: getting providers and locations credentialed/enrolled with payers, keeping CAQH/NPI/PECOS clean, managing payer contract updates and rates, and preventing credentialing issues from choking cash flow. If you’re process-driven and can chase payers without losing your cool, that’s the job.
About Nira Medical
Nira Medical is a national partnership of physician-led, patient-centered independent practices focused on advancing neurological care. They support practices with technology, research opportunities, and a collaborative care network while scaling operations and customer experience.
Schedule
- Full-time
- Remote
What You’ll Do
- Manage provider credentialing and enrollment for Medicare, Medicaid, and commercial payers
- Maintain credentialing database, track expirations/renewals, and keep files audit-ready
- Handle CAQH maintenance plus NPI and PECOS updates
- Complete payer portal applications, track timelines, and follow up to prevent delays
- Support payer contracting activities: renewals, rate verification, contract load requests, basic contract analysis
- Coordinate payer participation needs for new providers, new locations, acquisitions, and service expansion
- Partner with RCM, Operations, Billing, Corporate Development, IT/EMR, and payers to keep claims and cash flow moving
- Resolve credentialing-related payment issues and escalate enrollment risks early
- Manage facility-level updates: address changes, NPI/TIN linkages, Pay-To/Billing updates, adding locations to existing contracts
What You Need
- Associate’s or bachelor’s degree in a related field, or equivalent relevant experience
- 4+ years in provider credentialing, payer enrollment, or payer contracting
- 3+ years experience tied to RCM, healthcare regulations, and/or compliance standards
- Strong knowledge of payer credentialing requirements, fee schedules, and contract structures
- Strong problem-solving, independence, and follow-through
- Solid relationship management and negotiation skills
- Comfortable in fast-paced, scaling healthcare/RCM environments (multi-specialty or MSO experience preferred)
- CPCS certification and Athena EHR experience are a plus
Benefits
- Not listed in the posting
Quick gut-check (so you apply smart):
This is a “no excuses” coordination role. You’ll want examples ready of how you tracked enrollment status, prevented missed renewals, handled payer delays, and fixed credentialing issues that impacted billing.
Happy Hunting,
~Two Chicks…