This role is all about clearing the runway so patients can actually receive care without coverage surprises. If you’re strong in insurance verification, prior auths, and patient financial responsibility, you’ll be a key player in keeping infusion services moving.
About Nira Medical
Nira Medical supports medical and infusion services through strong revenue cycle operations. This position sits within Infusion & Revenue Cycle Management, helping patients navigate insurance coverage, authorizations, and financial assistance.
Schedule
- Full-time
- Remote
- Department: Infusion & Revenue Cycle Management
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 services
⦁ Support denial mitigation, including peer-to-peer reviews and appeals
⦁ Maintain knowledge of infusion drug authorization requirements across payers and relevant state/federal guidelines
⦁ Calculate and clearly communicate patient financial responsibility
⦁ Assist patients with financial support, including patient assistance programs and manufacturer copay enrollment
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in medical insurance verification and prior authorizations (infusion experience preferred)
⦁ Understanding of insurance terminology, plan types/structures, and approval types
⦁ Experience with J-codes, CPT, and ICD-10
⦁ Ability to review clinical documentation and apply medical terminology appropriately
⦁ Strong organization, accuracy, and multitasking skills in a fast-paced environment
⦁ Critical thinking and confident judgment
⦁ Athena experience is a plus (not required)
Benefits
⦁ Remote, full-time stability in a revenue cycle specialty role
⦁ Work that directly impacts patient access to treatment by removing authorization and coverage barriers
⦁ Opportunity to deepen infusion and specialty authorization expertise
If you’ve got prior auth experience and you’re good at turning “pending” into “approved,” this is worth jumping on.
Be the person who gets patients to treatment faster, with fewer surprises.
Happy Hunting,
~Two Chicks…