If you’re sharp with insurance verification, prior auths, and you don’t panic when denials hit, this role is all about clearing the runway so patients can actually receive infusion care without delays or surprise bills.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations, helping ensure patients can access medical and infusion services through accurate benefits verification, authorizations, and coverage support.
Schedule
- Full-time
- Remote
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 visits and infusion treatments
- Support denial mitigation, including peer-to-peer reviews and appeals
- Maintain working knowledge of payer-specific infusion drug authorization requirements, plus state and federal coverage guidelines
- Calculate and communicate patient financial responsibility clearly and accurately
- Help patients access financial assistance, including patient assistance programs and manufacturer copay support enrollment
What You Need
- High school diploma or equivalent
- 2–3 years of experience with insurance verification and prior authorizations (infusion experience preferred)
- Strong knowledge of insurance terminology, plan types, and authorization/approval types
- Experience working with J-codes, CPT, and ICD-10 codes
- Ability to review clinical documentation and understand medical terminology
- Strong organization, attention to detail, and ability to multitask in a fast-paced environment
- Critical thinking and sound judgment
- Athena experience is a plus (not required)
Benefits
- Not listed in the posting provided
This is a “details matter” job. If you’re applying, make sure your resume bullets show volume handled, payer familiarity, denial/appeal wins, and coding exposure (J-codes/CPT/ICD-10).
Happy Hunting,
~Two Chicks…