If you’re solid with insurance verification and prior auths, and you don’t fold when denials pop up, this role is a clean fit. You’ll verify coverage, secure authorizations for office visits and infusion services, help patients understand costs, and connect them to financial assistance when needed.
About Nira Medical
Nira Medical supports patients through infusion and revenue cycle operations by making sure coverage, authorizations, and financial pathways are handled accurately and on time. The goal is simple: fewer delays, fewer surprises, more patients getting the care they need.
Schedule
- Full-time
- 100% remote
- Department: Infusion & Revenue Cycle Management
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Obtain authorizations and pre-certifications for office visits and infusion services
⦁ Support denial mitigation, including peer-to-peer reviews and appeals
⦁ Stay current on infusion drug authorization requirements across payers and relevant state/federal guidelines
⦁ Calculate patient financial responsibility and communicate it clearly and respectfully
⦁ Support financial assistance for patients by identifying assistance programs and enrolling patients in manufacturer copay support when applicable
⦁ Review clinical documentation and use good judgment to ensure submissions are complete and accurate
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Strong understanding of insurance terminology, plan types, and approval pathways
⦁ Experience with J-codes, CPT, and ICD-10
⦁ Comfort reviewing medical terminology and clinical documentation
⦁ Strong organization, attention to detail, and ability to multitask in a fast-paced environment
⦁ Critical thinking and decisive judgment
⦁ Athena experience is a plus (not required)
Benefits
⦁ Remote work environment
⦁ Role focused on high-impact patient access and financial support
⦁ Experience-building in infusion and revenue cycle operations
If you’re ready to keep infusion patients moving through coverage and authorizations without the usual chaos, apply while it’s open.
Be the reason “pending” turns into “approved.”
Happy Hunting,
~Two Chicks…