This is a revenue-cycle support role focused on getting infusion and office visit services approved and paid: verifying benefits, submitting prior auths, handling denials, and helping patients with copay/financial assistance. If you’ve done insurance verification + authorizations before, this is in your wheelhouse.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations, helping patients access covered medical and infusion services.
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 services
- Support denial mitigation (peer-to-peer review coordination, appeals)
- Stay current on infusion drug auth requirements across payers and relevant state/federal guidelines
- Calculate and explain patient financial responsibility
- Help patients access financial assistance (patient assistance programs, manufacturer copay programs)
What You Need
- High school diploma or equivalent
- 2–3 years 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
- Ability to review clinical documentation/medical terminology
- Athena experience is a plus (not required)
- Strong organization, detail, multitasking, critical thinking, and sound judgment
Benefits
- Not listed in the posting
One thing to watch (so you don’t get blindsided):
A lot of these roles live and die by speed + accuracy. If they ask about productivity, talk about how you track auth status, follow-up cadence, and how you prevent missing info that triggers denials.
Happy Hunting,
~Two Chicks…