by Terrance Ellis | Dec 29, 2025 | Uncategorized
This isn’t a “paperwork” job. This is revenue protection. If you know how credentialing and contracting directly impact whether claims pay or stall, you’ll like this role. You’ll keep providers and locations enrolled, contracted, and payer-ready so revenue doesn’t get held hostage by missed renewals, bad mappings, or portal limbo.
About Nira Medical
Nira Medical is a national partnership of physician-led, patient-centered independent neurology practices focused on expanding access to life-changing treatments. They support practices with technology, research opportunities, and a collaborative care network, and they’re scaling operations to support growth across providers, locations, and acquisitions.
Schedule
Remote, full-time
Department: Revenue Cycle Management (RCM)
Reports to: Director of Revenue Cycle Management
Work is driven by payer timelines, renewals, onboarding, and expansion priorities
What You’ll Do
⦁ Manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers
⦁ Maintain CAQH profiles and manage NPI and PECOS updates to prevent enrollment delays
⦁ Track expirations, renewals, and application statuses in a credentialing database with audit-ready documentation
⦁ Support payer contracting and rate management by tracking renewals, verifying rate accuracy, and assisting in contract analysis
⦁ Help process contract loads and ensure payer mappings, fee schedules, and reimbursement structures are set correctly
⦁ Maintain compliance with payer requirements and regulatory standards, supporting audits and leadership reporting
⦁ Serve as a liaison between providers, payers, and internal teams to resolve credentialing and contracting issues quickly
⦁ Coordinate credentialing-related operational needs with Billing, Operations, IT, EMR teams, and Corporate Development
⦁ Manage facility and operational updates with payers (address changes, NPI/TIN linkages, pay-to/billing updates, new location additions) to prevent revenue disruption
⦁ Identify enrollment risks early and escalate issues before they impact cash flow or claims readiness
What You Need
⦁ Associate’s or bachelor’s degree in a related field, or equivalent relevant experience
⦁ 4+ years of experience in provider credentialing, payer enrollment, or payer contracting
⦁ 3+ years of experience in revenue cycle management, healthcare regulations, and/or compliance standards
⦁ Strong understanding of payer credentialing requirements, contract structures, fee schedules, and rate setup
⦁ Strong organization, follow-through, and ability to build scalable, repeatable workflows
⦁ Confident problem-solving and ability to work independently in a fast-paced environment
⦁ Strong relationship management and negotiation skills
⦁ Experience in a scaling healthcare org, multi-specialty practice, or MSO environment is a plus
⦁ CPCS certification and Athena EHR experience are a plus
Benefits
⦁ Remote, full-time position
⦁ High-impact ownership role tied directly to revenue readiness and claim payment velocity
⦁ Opportunity to help scale credentialing and contracting workflows during growth and expansion
Backbone note: this role is legit, but it’s also a lot. “Revenue-ready across all payers” plus acquisitions and new locations means you’ll be living in portals, tracking sheets, and follow-up loops. If you don’t like chasing payer status updates until you get a real answer, skip it. If you do, you’ll be a weapon here.
If you’re the kind of coordinator who builds systems, not just processes tasks, apply now.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 29, 2025 | Uncategorized
If you’re built for follow-up, dispute work, and getting money unstuck, this role is your lane. You’ll work past-due claims from the payer and patient side, manage disputes and appeals, and reconcile payments so cash actually lands where it should.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations with a focus on payer compliance, strong A/R performance, and keeping patient care financially sustainable. This role sits in the “close the loop” part of revenue cycle where persistence and accuracy make the difference.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Reports to: Director, Revenue Cycle Management
What You’ll Do
⦁ Perform collections activities on past-due health insurance claims, working with third-party payers and patients
⦁ Drive daily progress toward monthly, quarterly, and annual cash collection and A/R goals
⦁ Research disputed or past-due claims, validate issue root causes, and take the right next steps to secure payment
⦁ Support dispute resolution, appeals management, and payment reconciliation as part of the collections workflow
⦁ Complete quality assurance tasks to ensure collections activity follows organizational policies and payer guidelines
⦁ Identify recurring issues or compliance risk patterns and escalate appropriately
⦁ Negotiate payment plans, partial payments, or extensions when appropriate, with reporting for management review
⦁ Use multiple systems to track actions, document outcomes, and maintain clean audit trails
⦁ Handle other revenue cycle tasks as assigned
What You Need
⦁ High school diploma or GED
⦁ Strong communication, interpersonal, and organizational skills
⦁ Ability to prioritize, problem-solve, and multitask in a fast-paced A/R environment
⦁ Comfort navigating multiple software systems and learning tools quickly
⦁ Physician office billing/collections experience is a plus
⦁ Infusion drug experience is highly preferred
⦁ Familiarity with physician-administered drugs, imaging, or other ancillaries is a strong advantage
Benefits
⦁ Remote, full-time position
⦁ High-impact work tied directly to collections and A/R performance
⦁ Specialized growth in payer dispute work, appeals, and payment reconciliation within infusion services
Quick reality check: collections roles can be grindy, and they’ll measure you on outcomes. If you like the chase and you’re good at staying organized under pressure, you can win here.
Bring your follow-up discipline, your dispute brain, and your “we’re not writing this off” energy.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 29, 2025 | Uncategorized
If you’re the type who doesn’t just “send claims” but actually chases clean payment and keeps A/R moving, this role is for you. You’ll own claim submission, follow-through, and quality checks to help an infusion-focused care platform collect accurately and on time.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations with a focus on strong billing practices, payer compliance, and patient-care continuity. This billing role sits close to physician services and ancillaries, where accuracy, speed, and denial prevention directly impact cash flow and care access.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Reports to: Director, Revenue Cycle Management
What You’ll Do
⦁ Submit and process third-party payer claims (primary and secondary) with accuracy and urgency
⦁ Drive daily progress toward cash collection and A/R performance goals
⦁ Complete quality assurance tasks to ensure claims are compliant with payer guidelines and internal policies
⦁ Identify incomplete or unresolved billing work and follow up or escalate quickly
⦁ Spot patterns of noncompliance or recurring issues and escalate for review
⦁ Use payer portals, policy research, and electronic submission tools to secure payment efficiently
⦁ Triage and escalate when needed to keep open claims and invoices from stalling
⦁ Support additional revenue cycle tasks as assigned
What You Need
⦁ High school diploma or GED
⦁ Strong communication, interpersonal, and organizational skills
⦁ Ability to prioritize, problem-solve, and multitask in a fast-paced billing environment
⦁ Comfort working in multiple software systems and learning new tools quickly
⦁ Experience with physician office billing is a plus
⦁ Infusion drug billing experience is highly preferred
⦁ Familiarity with physician-administered drugs, imaging, or other ancillary services is a strong advantage
Benefits
⦁ Remote, full-time position
⦁ High-impact work tied directly to collections and A/R performance
⦁ Specialized growth in physician services billing, including infusion drugs and related ancillaries
If you’ve got billing experience and you’re ready to be measured by results (not just activity), this is a serious revenue cycle seat. Apply while it’s open.
Bring your claims discipline, your A/R instincts, and your “let’s get this paid” mindset.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 29, 2025 | Uncategorized
If you’re the person other auth reps lean on when a payer gets messy, this is your lane. You’ll lead by example, keep infusion authorizations moving, and help protect patient access to care through clean benefits verification, strong documentation, and smart denial mitigation.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by ensuring coverage approvals are secured accurately and on time. This team sits close to patient access, payer rules, and clinical documentation, where speed and precision directly impact treatment.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Work expectations align with payer timelines, authorization turnaround, and patient scheduling needs
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Obtain insurance authorizations and pre-certifications for office visits and infusion treatments
⦁ Support denial mitigation through peer-to-peer review coordination and appeals
⦁ Maintain working knowledge of payer-specific infusion drug authorization requirements and state/federal coverage guidelines
⦁ Calculate and communicate patient financial responsibility clearly and accurately
⦁ Help patients access financial assistance, including patient assistance programs and manufacturer copay enrollment
⦁ Review medical terminology and clinical documentation to support coverage decisions and approvals
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Strong knowledge of insurance terminology, plan structures, and authorization types
⦁ Experience working with J-codes, CPT, and ICD-10 coding
⦁ Comfort reviewing clinical documentation and medical terminology
⦁ Strong organization, attention to detail, and ability to juggle multiple priorities
⦁ Solid critical thinking and decisive judgment in a fast-paced environment
⦁ Athena experience is a plus, not a requirement
Benefits
⦁ Remote, full-time position
⦁ Leadership-track role within infusion authorizations and revenue cycle support
⦁ High-impact work that helps prevent treatment delays and reduces patient financial stress
Quick backbone note: this posting reads almost identical to the non-lead version. If they don’t list actual lead duties (coaching, QA, workflow ownership, escalation authority), that can mean two things: either they’re moving fast and posted a rough draft, or they want “lead” responsibility without “lead” clarity. If you apply, be ready to ask what makes it a Lead role in practice.
If you’re ready to take ownership, drive approvals, and be the steady hand when denials hit, make your move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 29, 2025 | Uncategorized
If you know insurance benefits, prior auths, and how to keep an infusion patient’s care from getting stuck in payer purgatory, this role is for you. You’ll verify coverage, secure authorizations, fight denials when they pop up, and help patients understand what they owe and what support programs can help.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by ensuring patients get the coverage approvals needed for treatment. This role sits at the intersection of patient care access and payer requirements, where accuracy, urgency, and follow-through matter.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Work expectations are aligned to payer timelines, authorization turnaround, and patient scheduling needs
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Obtain insurance authorizations and pre-certifications for office visits and infusion treatments
⦁ Support denial mitigation through peer-to-peer review coordination and appeals
⦁ Maintain working knowledge of payer-specific infusion drug authorization requirements and state/federal coverage guidelines
⦁ Calculate and clearly communicate patient financial responsibility
⦁ Help patients access financial assistance, including patient assistance programs and manufacturer copay enrollment
⦁ Review clinical documentation as needed to support authorization and coverage decisions
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Strong knowledge of insurance terminology, plan structures, and authorization types
⦁ Experience working with J-codes, CPT, and ICD-10 coding
⦁ Comfort reviewing medical terminology and clinical documentation
⦁ Strong organization, attention to detail, and ability to juggle multiple priorities
⦁ Solid critical thinking and decision-making skills in a fast-paced environment
⦁ Athena experience is a plus, not a requirement
Benefits
⦁ Remote, full-time position
⦁ Specialized experience in infusion authorizations and payer requirements
⦁ Opportunity to make a direct impact by preventing treatment delays and reducing patient financial stress
If you’ve been doing benefits and auth work and you’re ready for a role where your accuracy directly protects patient access to care, apply now. These infusion-focused authorization roles don’t stay open long.
Bring your payer knowledge, your documentation discipline, and your “let’s get this approved” energy.
Happy Hunting,
~Two Chicks…
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