Enrollment & Credentialing Coordinator

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Nira Medical Group

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Nira Medical Group is a national practice platform focused on transforming neurological care by making life-changing treatment more accessible to patients. The organization empowers neurologists by providing a comprehensive range of services, allowing them to deliver world-class care. By uniting top physicians and employing a physician-led model, Nira Medical enhances healthcare outcomes through expanded access and the integration of advanced neurological practices and services under one roof. The group aims to ease administrative burdens on healthcare professionals and deliver comprehensive patient care, including ancillary services such as infusion, clinical research, and imaging.

📋 Description

• The Enrollment & Credentialing Coordinator plays a critical role in ensuring Nira Medical’s providers, locations, and services are fully credentialed, contracted, and revenue-ready across all payers. • This role manages provider enrollment, contract updates, and payer-related operational tasks needed to support new hires, new locations, acquisitions, and organizational expansion. • The coordinator ensures timely provider enrollment, contract execution, and adherence to payer requirements while proactively resolving credentialing- or contracting-related issues that may impact revenue. • This position requires a hands-on, process-driven mindset with the ability to problem-solve, build scalable workflows, and collaborate effectively with providers, payers, and internal teams. • The role is ideal for someone who thrives in a fast-paced environment and can help strengthen Nira’s credentialing foundation with structure, accuracy, and operational discipline. • The coordinator partners cross functionally with RCM, Operations, Billing, Corporate Development, and external payer partners to ensure compliance and support the organization’s evolving revenue cycle needs.

🎯 Requirements

• Associate’s/bachelor’s degree in healthcare administration, business, or a related field; or equivalent relevant experience in credentialing, payer contracting, or healthcare operations • Minimum 4+ years of experience in provider credentialing, and payer enrollment • Strong knowledge of payer credentialing requirements, and individual/group contract structures • Minimum 3+ years of experience in revenue cycle management, healthcare regulations and/or compliance standards • Proactive, self-motivated, and adaptable to the evolving needs of a growing organization • Strong problem-solving skills and ability to work independently • Excellent relationship management and negotiation skills • Ability to collaborate in a data-driven, customer focused team environment • Experience working in a startup, scaling healthcare organization, fast-paced RCM environments, with multi-specialty practices or MSO structures preferred • Certified Provider Credentialing Specialist (CPCS) certification, and Athena EHR experience is a plus • Experience with multi-specialty practices or MSO structures preferred

🏖️ Benefits

• N/A