Be the person who makes providers revenue-ready. If you’re sharp with enrollment timelines, payer portals, contract updates, and you hate when credentialing delays mess up cash flow, this role has your name on it.
About Nira Medical
Nira Medical is a national partnership of physician-led, patient-centered independent practices focused on advancing neurological care. They support clinicians with technology, research opportunities, and a collaborative care network designed to expand access to life-changing treatments and improve patient outcomes.
Schedule
Full-time, remote. Department: Infusion & Revenue Cycle Management. Reports to: Director of Revenue Cycle Management.
What You’ll Do
⦁ Manage provider credentialing and enrollment workflows across Medicare, Medicaid, and commercial payers
⦁ Maintain CAQH profiles and handle updates for NPI, PECOS, and payer portal applications
⦁ Track expirations, renewals, and enrollment timelines to prevent credentialing delays that impact revenue
⦁ Support payer contracting and rate management, including renewals, fee schedule verification, and contract load requests
⦁ Help evaluate payer participation needs for new locations, acquisitions, and service expansions
⦁ Maintain audit-ready credentialing files and centralized tracking systems with real-time status updates
⦁ Serve as a liaison between providers, payers, and internal teams to resolve credentialing/contracting issues fast
⦁ Coordinate credentialing-related operational needs with RCM, billing, operations, corporate development, and IT/EMR teams
⦁ Manage facility and address updates with payers (NPI/TIN linkages, pay-to/billing changes, new location additions) to prevent revenue disruption
⦁ Identify enrollment risks early and escalate issues proactively to protect claims readiness and cash flow
What You Need
⦁ Associate’s or Bachelor’s degree in healthcare administration, business, or related field (or equivalent relevant experience)
⦁ 4+ years of experience in provider credentialing, payer enrollment, or payer contracting
⦁ 3+ years of experience in revenue cycle management, healthcare regulations, and/or compliance standards
⦁ Strong knowledge of credentialing requirements, contract structures, and fee schedules
⦁ Strong problem-solving ability, independence, and a process-driven mindset
⦁ Strong relationship management and negotiation skills
⦁ Comfortable thriving in a fast-paced, scaling environment (startup/MSO experience preferred)
⦁ Bonus: CPCS certification and Athena EHR experience
You’re basically the shield between growth and revenue chaos. If you like building structure, keeping files clean, and making sure nothing slips through the cracks, this is a high-leverage role.
If it sounds like you, don’t wait. Roles like this move fast.
Happy Hunting,
~Two Chicks…