This is a revenue-protection role dressed up as admin work. If you’re sharp with payer enrollment, CAQH, PECOS, and contract updates, you’ll be the person making sure providers are credentialed, locations are live, and claims don’t get stuck in “not enrolled” purgatory.
About Nira Medical
Nira Medical is a national partnership of physician-led neurology practices focused on expanding access to neurological care. They support practices with technology, research opportunities, and a collaborative care network, and they’re in a growth phase scaling teams, services, and patient experience.
Schedule
- Full-time
- Remote
- Reports to: Director of Revenue Cycle Management
- Built for a fast-paced, scaling environment (new hires, new locations, acquisitions)
What You’ll Do
⦁ Manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers, keeping everything revenue-ready
⦁ Maintain credentialing databases, track expirations/renewals, and keep audit-ready files
⦁ Own CAQH upkeep plus NPI and PECOS updates, payer portal applications, and enrollment follow-ups to prevent delays
⦁ Support payer contracting and rate management: renewal timelines, fee schedule verification, reimbursement rate accuracy, and contract load requests
⦁ Assist with contract analysis and payer participation needs for new locations, acquisitions, and service expansion
⦁ Coordinate with RCM, Operations, Billing, Corporate Development, IT/EMR teams, and payer partners to keep enrollment and contracting from disrupting cash flow
⦁ Handle facility and operational updates: address changes, Pay-To/Billing updates, NPI/TIN linkages, adding new locations to existing contracts
⦁ Serve as a liaison to providers and payers, helping resolve issues and educating providers on credentialing expectations and reimbursement impacts
What You Need
⦁ Associate’s or Bachelor’s degree (healthcare admin/business preferred) or equivalent credentialing/contracting/healthcare ops experience
⦁ 4+ years in provider credentialing, payer enrollment, or payer contracting
⦁ 3+ years in revenue cycle management, healthcare regulations, and/or compliance standards
⦁ Strong understanding of payer requirements, fee schedules, and contract structures
⦁ Process-driven, organized, and accurate with strong independent problem-solving
⦁ Relationship management and negotiation skills
⦁ Preferred: startup/scaling healthcare experience, multi-specialty or MSO environment
⦁ Nice-to-have: CPCS certification and Athena EHR experience
Benefits
- Not listed in the posting (ask about benefits, PTO, equipment stipend, and bonus eligibility during screening)
Straight talk: this job gets intense when growth hits. New providers + new locations + payer portals moving at “government speed” can turn into a mess fast. If you’re the kind of person who can build a tracking system, chase payers relentlessly, and keep stakeholders calm, you’ll be gold.
Happy Hunting,
~Two Chicks…