Jobs at Porter (helloporter.com)

Manage the full clinical credentialing and recredentialing lifecycle for nurse practitioners, nurses, and other providers. Verify licenses, certifications, education, work history, malpractice coverage, and other qualifications through primary sources. Monitor expirables, resolve discrepancies, coordinate payer enrollment, maintain audit-ready records, and support compliance audits. Partner with Clinical Operations, HR, Compliance, and external organizations while improving workflows, documentation, timelines, and provider onboarding processes.

Own Athena configuration and claims workflows for a non-fee-for-service billing model. Translate payer contracts into system rules, reconcile claims/payments, manage holds and partial payments, build recurring reconciliation and exception reports, lead a 90-day assessment of Athena’s fit and recommend remediation or migration, and direct a Billing & Claims Analyst.

Lead configuration and operations of Athena for a non-fee-for-service billing model; reconcile claims and payments; build reporting and analytics; supervise billing analyst; assess Athena fit and recommend mitigation or migration to a new EMR/RCM platform.

Lead and manage end-to-end clinical credentialing and recredentialing for nursing and clinical staff. Perform primary source verification, monitor expirables, maintain audit-ready files, coordinate with payers and internal teams, improve workflows, and ensure compliance with licensing and payer requirements.

Monitor and reconcile claims and invoices in Athena, build recurring reports, track payments and claim-aging, perform first-line corrections, document recurring issues for escalation, and support testing of Athena workflow fixes and EMR assessments.