🧾 About the Role
Nira Medical is a growing platform specializing in infusion and physician services. As a Benefits and Authorizations Specialist, you’ll play a critical role in helping patients access necessary care—verifying insurance, submitting authorizations, and guiding financial assistance efforts. Your work ensures timely treatment while easing financial uncertainty for patients.
✅ Position Highlights
• Full-Time
• 100% Remote
• Department: Infusion & Revenue Cycle Management
• Focus: Insurance verification, authorizations, patient support
📋 What You’ll Own
• Verify insurance eligibility and coverage for infusion and office services
• Secure prior authorizations and pre-certifications across multiple payers
• Manage denial mitigation efforts, including appeals and peer-to-peer reviews
• Stay up-to-date on infusion drug authorization rules and payer requirements
• Calculate patient out-of-pocket costs and communicate financial responsibilities
• Assist patients with enrollment in financial aid or manufacturer copay programs
🎯 Must-Have Traits
• High school diploma or equivalent
• 2–3 years of experience in insurance verification and prior authorizations
• Strong understanding of payer types, benefit structures, and denial protocols
• Familiarity with CPT codes, ICD-10, J-codes, and clinical documentation
• Detail-oriented and organized under pressure
• Experience with Athena is a plus
• Excellent multitasking and critical thinking abilities
💻 Remote Requirements
• Home office setup with reliable internet
• Comfort working independently in a fast-paced environment
• Ability to meet deadlines and manage case load remotely
💡 Why It’s a Win for Remote Job Seekers
• Help patients access life-changing care from behind the scenes
• Join a mission-driven, fast-growing healthcare team
• Gain exposure to infusion services and specialty care workflows
• Work remotely with clear goals, autonomy, and purpose
✍️ Call to Action
If you’re a healthcare insurance pro with a passion for making care more accessible, join Nira Medical’s Revenue Cycle team and help patients navigate the path to treatment with confidence.