Benefits and Authorizations Specialist Lead – Remote

Take the lead in ensuring patients receive critical coverage for infusion and medical services. Use your expertise to oversee insurance verification, authorizations, and financial assistance, while guiding processes that directly impact patient care.

About Nira Medical
Nira Medical focuses on infusion and revenue cycle management, helping patients access treatments without unnecessary delays. Our mission-driven team works across providers, payers, and patients to deliver streamlined coverage, efficient authorizations, and patient-first care.

Schedule

  • Full-time, remote position
  • Department: Infusion & Revenue Cycle Management

What You’ll Do

  • Verify and document insurance eligibility, benefits, and coverage for infusion and office visits
  • Obtain pre-authorizations and pre-certifications for treatments
  • Lead denial mitigation efforts including peer-to-peer reviews and appeals
  • Stay current on payer requirements, state and federal guidelines, and infusion drug authorization standards
  • Calculate and communicate patient financial responsibilities
  • Provide financial assistance support, including program identification and copay assistance enrollment

What You Need

  • High school diploma or equivalent
  • 2–3 years of medical insurance verification and prior authorization experience (infusion preferred)
  • Strong knowledge of insurance plans, J-codes, CPT, and ICD-10 coding
  • Athena experience a plus (not required)
  • Knowledge of medical terminology and clinical documentation review
  • Excellent organizational skills with a detail-oriented mindset
  • Ability to multitask effectively in a fast-paced environment
  • Strong critical thinking and decisive judgment

Benefits

  • Remote, flexible work environment
  • Meaningful role supporting patients’ access to care
  • Growth opportunities within specialized healthcare services
  • Collaborative, mission-driven culture

Step into a leadership role where your expertise makes a direct impact on patients’ access to essential care.

Happy Hunting,
~Two Chicks…

APPLY HERE