Enrollment & Credentialing Coordinator

Overview

Nira Medical is a nationwide network of physician-led, patient-first independent practices focused on improving the future of neurological care. Built by neurologists who know the realities of the specialty, the organization supports clinicians with advanced technology, research opportunities, and a collaborative care model designed to raise the quality of care. As the company continues to expand, the emphasis is on growing teams and services while improving the customer experience.

The Enrollment & Credentialing Coordinator is central to keeping providers, sites, and services properly enrolled, contracted, and ready to generate revenue across payer groups. The role handles provider enrollment, contract revisions, and payer-facing operational work that supports new hires, new locations, acquisitions, and overall growth. It calls for a practical, process-oriented professional who can solve problems, create scalable workflows, and work closely with providers, payers, and internal departments. Within a developing revenue cycle management structure, this position suits someone who works well in a fast-moving setting and can bring accuracy, structure, and operational discipline to credentialing operations.

This person works cross-functionally with revenue cycle management, operations, billing, corporate development, and outside payer partners to support compliance and the organization’s changing revenue cycle needs.

Responsibilities

• Keep all providers credentialed and enrolled in line with federal, state, and payer-specific rules, while maintaining a reliable credentialing database and monitoring expirations and renewals.
• Manage end-to-end enrollment activity with Medicare, Medicaid, and commercial payers, including CAQH upkeep, NPI and PECOS changes, and applications through payer portals.
• Track application progress, follow up with payers to reduce delays, and keep enrollment records and supporting documents current, organized, and available to internal teams.
• Maintain clean, audit-ready files and support compliance with credentialing standards and regulatory expectations.
• Prepare leadership reports, assist with internal and external audits, and keep a centralized tracker updated in real time.
• Act as a connection point among providers, payers, and revenue cycle teams to resolve issues quickly and communicate clearly.
• Educate providers on reimbursement models, contract language, and credentialing requirements so they understand the operational and revenue impact of payer rules.
• Work with RCM teams to avoid interruptions to cash flow and claim submission readiness.
• Identify and resolve credentialing-related payment issues, support onboarding for new providers and practice locations, coordinate payer setup needs with IT and EMR teams, and escalate enrollment risks when required.
• Handle site-level and operational changes that must be reported to payers, such as address updates, NPI/TIN connections, Pay-To and billing address changes, and adding new locations to existing contracts.
• Submit required paperwork, track payer acknowledgments or approvals, and confirm updates are completed so revenue is not interrupted.

Requirements

• An associate’s or bachelor’s degree in healthcare administration, business, or a related discipline, or equivalent hands-on experience in credentialing, payer contracting, or healthcare operations.
• At least 4 years of experience in provider credentialing and payer enrollment.
• Strong understanding of payer credentialing rules and individual/group contract structures.
• At least 3 years of experience in revenue cycle management, healthcare regulation, and/or compliance work.
• A proactive, self-directed approach with the flexibility to adapt as the organization grows.
• Strong analytical and troubleshooting ability, along with the discipline to work independently.
• Excellent relationship-building and negotiation skills.
• Comfort working in a data-driven, customer-focused team setting.
• Prior exposure to startup or scaling healthcare environments, fast-paced RCM teams, or multi-specialty/MSO models is preferred.
• Certified Provider Credentialing Specialist (CPCS) certification is a plus.
• Athena EHR experience is a plus.
• Experience in multi-specialty practices or MSO structures is preferred.

Who can apply

Applicants with the listed education or equivalent experience in credentialing, payer contracting, or healthcare operations may be considered. The role is especially suited to professionals with solid provider credentialing, enrollment, revenue cycle, and compliance experience in healthcare settings.

Additional information

Some qualifications are preferred rather than mandatory. Candidates who do not meet every requirement are still encouraged to apply if they bring relevant strengths or transferable experience.