Be the closer who makes sure patients don’t lose weeks to red tape. If you’re strong in benefits verification, prior auths, infusion requirements, and denial mitigation, this lead role puts you at the center of coverage getting approved fast and correctly.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations that help patients access medical and infusion services without unnecessary delays. This team focuses on accurate benefits work, clean authorizations, and financial assistance support so care can move forward.
Schedule
Full-time, 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 prior authorizations and pre-certifications for office visits and infusion services
⦁ Support denial mitigation, including peer-to-peer reviews and appeals
⦁ Maintain working knowledge of infusion drug authorization requirements across payers and state/federal coverage guidelines
⦁ Calculate and clearly communicate patient financial responsibility
⦁ Assist patients with financial help options, including patient assistance programs and manufacturer copay enrollment
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Knowledge of insurance terminology, plan types, structures, and approval types
⦁ Experience with J-codes, CPT, and ICD-10 coding
⦁ Medical terminology knowledge and ability to review clinical documentation
⦁ Strong organizational skills, detail focus, and ability to multitask in a fast-paced environment
⦁ Critical thinking skills and decisive judgment
⦁ Bonus: Athena experience (not required)
Quick backbone note: this posting reads almost identical to the non-lead version. If they don’t clarify leadership duties (coaching, QA ownership, escalation authority, metrics responsibility), it’s worth asking in the interview what makes it “Lead” besides the title.
If you’re ready to run point and keep authorizations moving clean and fast, apply while it’s fresh.
Happy Hunting,
~Two Chicks…