If you’re the person who keeps providers “revenue-ready” by staying on top of enrollments, payer portals, renewals, and contract updates, this role is your lane. You’ll own the credentialing and contracting engine that keeps new hires, new locations, and acquisitions from getting stuck in payer limbo.
About Nira Medical
Nira Medical is a national partnership of physician-led, patient-centered independent practices focused on advancing neurological care. Founded by neurologists, Nira supports practices with technology, clinical research opportunities, and a collaborative care network while scaling operations to improve access and outcomes.
Schedule
- Full-time
- Remote
- Department: Revenue Cycle Management (RCM)
- Reports to: Director of Revenue Cycle Management
What You’ll Do
⦁ Manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers, keeping timelines moving and documentation audit-ready
⦁ Maintain credentialing databases, track expirations/renewals, and manage CAQH upkeep plus NPI and PECOS updates
⦁ Complete payer portal applications, follow up with payers, and proactively prevent enrollment delays that could impact revenue
⦁ Support payer contracting and rate management by tracking renewals, helping verify fee schedules, and assisting with contract analysis and load requests
⦁ Coordinate payer participation needs for new locations, acquisitions, and service expansions, aligning setup with organizational strategy
⦁ Ensure compliance with payer requirements and regulatory standards, including reporting and audit support
⦁ Serve as a liaison between providers, payers, and internal teams to resolve issues fast and communicate expectations clearly
⦁ Partner with RCM, Operations, Billing, Corporate Development, IT/EMR teams, and external payer contacts to protect cash flow and claims readiness
⦁ Manage facility-level updates (addresses, NPI/TIN linkages, pay-to/billing address changes, new locations added to contracts) to prevent revenue disruption
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 payer credentialing requirements, fee schedules, and contract structures
⦁ Strong problem-solving skills and ability to work independently in a fast-paced environment
⦁ Excellent relationship management and negotiation skills
⦁ Comfortable collaborating cross-functionally in a data-driven, customer-focused environment
⦁ Startup/scaling healthcare, multi-specialty, or MSO experience preferred
⦁ CPCS certification and Athena EHR experience are a plus
Benefits
⦁ Remote, full-time role with high impact on revenue readiness and operational continuity
⦁ Cross-functional visibility across RCM, operations, billing, growth, and payer strategy
⦁ Opportunity to help build scalable workflows and strengthen credentialing foundations in a growing organization
Real talk: this role is part project manager, part compliance hawk, part payer-whisperer. If you like clean process, tight tracking, and solving payer roadblocks before they become revenue problems, this is a strong fit.
Happy Hunting,
~Two Chicks…