Nira Medical | Remote (U.S. Based)
🧾 About the Role
As a Benefits and Authorizations Specialist at Nira Medical, you’ll help patients gain access to critical infusion and office-based treatments. You’ll verify insurance, secure authorizations, support financial assistance applications, and play a key role in minimizing treatment delays. This full-time, remote role is part of the Infusion & Revenue Cycle Management team and is ideal for someone who thrives in a fast-paced healthcare environment and knows the ins and outs of payers, J-codes, and patient advocacy.
✅ Position Highlights
• Compensation based on experience
• Full-Time | Remote (U.S. Based)
• Department: Infusion & Revenue Cycle Management
• Supportive team with direct patient impact
📋 What You’ll Own
• Verify and document insurance eligibility and coverage for office visits and infusion services
• Obtain prior authorizations and pre-certifications for all applicable services
• Mitigate denials via peer-to-peer reviews, appeals, and payer-specific workflows
• Stay up to date on payer policies and drug-specific authorization guidelines
• Calculate and communicate patient out-of-pocket responsibility
• Identify and enroll patients in financial assistance and manufacturer copay programs
• Review and interpret J-codes, CPT, ICD-10, and clinical documentation
• Maintain accurate, organized records and operate within regulatory and company guidelines
🎯 Must-Have Traits
• High school diploma or equivalent (required)
• 2–3 years of experience with insurance verifications and prior authorizations
• Infusion services background preferred
• Knowledge of J-codes, CPT/ICD-10 codes, and insurance structures
• Familiarity with medical terminology and payer documentation workflows
• Strong attention to detail and organizational skills
• Able to multitask, prioritize, and think critically under pressure
• Experience with Athena is a plus
💻 Remote Requirements
• U.S.-based with eligibility to work
• Reliable internet connection and quiet home workspace
💡 Why It’s a Win for Remote Job Seekers
• Play a vital role in patient access to life-changing care
• Fully remote role with autonomy and purpose
• Supportive team culture with room to grow in the RCM and infusion care space
• Ideal for detail-oriented healthcare pros who enjoy solving problems and making a difference
✍️ Call to Action
If you’re ready to help patients navigate the complex world of insurance and authorizations—while working from home—this could be your next great move. Apply now to become a key player on Nira Medical’s mission-driven team.