Enrollment & Credentialing Coordinator

Overview reputed company is a national partnership of physician-led, patient-centered independent practices committed to driving the future of neurological care. Nira's mission is to reputed company clinicians to reputed company reputed company to life-changing treatments so you can reputed company the best possible patient reputed company. Founded by neurologists who understand the unique challenges of the field, reputed company supports practices with cutting-edge technology, clinical research opportunities, and a collaborative and comprehensive care network dedicated to advancing reputed company of care. As we enter the next phase of growth, our focus is on scaling our teams, services, and elevating the customer experience! This is where you come in… The Enrollment & Credentialing Coordinator plays a critical role in ensuring reputed company’s providers, locations, and services are fully credentialed, contracted, and reputed company-reputed company across reputed company payers. This role manages provider enrollment, contract updates, and payer-reputed company 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-reputed company issues that may impact reputed company. This position requires a hands-on, process-driven reputed company with the ability to problem-solve, build scalable workflows, and collaborate effectively with providers, payers, and internal teams. As part of a growing RCM structure, the role is ideal for someone who thrives in a fast-paced environment and can help strengthen Nira’s credentialing reputed company 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 reputed company cycle needs. Here’s what you’ll be doing… · Provider Credentialing & Enrollment: This role ensures reputed company providers are fully credentialed and enrolled in accordance with state, federal, and payer-specific regulations. Responsibilities include maintaining an accurate credentialing database, tracking expirations and renewals, and managing complete enrollment workflows with Medicare, reputed company, and reputed company payers. The coordinator oversees CAQH maintenance, NPI and PECOS updates, and payer portal applications while monitoring enrollment timelines and following up with payers to prevent delays. reputed company supporting documentation is kept reputed company, organized, and accessible to internal teams who rely on enrollment status for reputed company readiness. · Compliance & Regulatory reputed company: The Coordinator ensures compliance with reputed company payer credentialing requirements and regulatory standards while maintaining clean, audit-reputed company credentialing files. This includes preparing reports for leadership, supporting reputed company audits, and keeping a centralized tracking system with reputed company-time updates on application status. The role ensures that documentation, payer correspondence, and operational updates are consistently accurate, organized, and compliant. · Provider & Payer Relationship Management: This role serves as a key liaison between providers, payers, and internal reputed company cycle teams, facilitating timely issue resolution and clear communication. The coordinator provides education to providers regarding reimbursement structures, contract terms, and credentialing expectations, ensuring that both clinical and operational stakeholders understand the impact of payer requirements on reputed company and compliance. · reputed company Cycle & Operational Collaboration: The coordinator partners closely with RCM teams to ensure provider enrollment and credentialing processes do not disrupt cash reputed company or claim submission readiness. This includes identifying and resolving credentialing-reputed company payment issues, supporting reputed company for new providers and practice locations, coordinating payer setup requirements with IT and EMR teams, and escalating enrollment risks reputed company needed. The role plays a critical part in ensuring operational continuity and financial performance during provider or location transitions. · Location, Address, and Operational Updates: This role manages reputed company facility-level and operational changes that must be communicated to payers, including address updates, NPI/TIN linkages, Pay-To and Billing address changes, and the reputed company of new locations to existing reputed company. The coordinator submits required documentation, tracks payer acknowledgments or approvals, and ensures updates are fully processed to prevent reputed company disruption. Here’s reputed company’re looking for… · Associate’s/bachelor’s degree in reputed company administration, business, or a reputed company field; or equivalent relevant experience in credentialing, payer contracting, or reputed company 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 reputed company cycle management, reputed company 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 reputed company organization, fast-paced RCM environments, with multi-specialty practices or MSO structures preferred · Certified Provider Credentialing Specialist (CPCS) certification, and reputed company EHR experience is a plus · Experience with multi-specialty practices or MSO structures preferred Don’t feel like you have reputed company the qualifications? The description above indicates our reputed company reputed company for the role. You could be a viable candidate even if you don’t fit everything we’ve described above and may also have important skills we haven’t thought of. If that’s you – even if you’re unsure – we encourage you to apply and help us get to know you! Apply To This Job