If you love clean processes, tight timelines, and making sure providers are enrolled, contracted, and revenue-ready without delays, this role is your lane. You’ll own credentialing and payer contracting operations end to end, keeping Nira’s provider and location data accurate, audit-ready, and set up to protect cash flow.
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 comprehensive care network as they scale operations and elevate the patient and provider experience.
Schedule
- Full-time
- Remote
- Revenue Cycle Management (RCM) team
- Reports to: Director of Revenue Cycle Management
What You’ll Do
- Manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers
- Maintain credentialing database, track expirations/renewals, and keep files audit-ready
- Own CAQH upkeep plus NPI and PECOS updates; manage payer portals and applications
- Monitor enrollment timelines, follow up with payers, and prevent delays that impact revenue
- Support payer contracting and rate management, including renewals, fee schedules, and contract load requests
- Help validate reimbursement rates, payer mappings, and participation needs for new sites and services
- Coordinate location and operational updates with payers (address changes, NPI/TIN linkages, pay-to/billing updates, new locations on contracts)
- Partner with RCM, Operations, Billing, Corporate Development, and IT/EMR teams to ensure claims readiness
- Troubleshoot credentialing-related payment issues and escalate risks that could disrupt cash flow
- Serve as the liaison between providers, payers, and internal teams, communicating expectations and resolving issues fast
What You Need
- Associate’s or bachelor’s degree in healthcare admin, business, or related field (or equivalent experience)
- 4+ years in credentialing, payer enrollment, or payer contracting
- 3+ years in revenue cycle, healthcare regulations, and/or compliance standards
- Strong knowledge of payer credentialing requirements, fee schedules, and contract structures
- Self-starter mindset with strong problem-solving and the ability to work independently
- Strong relationship management skills, plus comfort collaborating cross-functionally
- Startup or scaling healthcare/MSO/multi-specialty experience preferred
- CPCS certification and Athena EHR experience are a plus
Benefits
Not listed in the posting.
One real talk note: this role is basically “protect revenue by preventing enrollment/contract mess.” If your resume doesn’t loudly show end-to-end enrollment ownership, CAQH/NPI/PECOS work, payer follow-ups, and managing location updates, you’ll want to tweak it before you hit submit.
Happy Hunting,
~Two Chicks…