Ensure patients receive the coverage they need for medical and infusion services while leading key aspects of insurance verification and authorization. This role is perfect for professionals with strong payer knowledge, coding expertise, and experience in infusion services.
About Nira Medical
Nira Medical provides infusion and physician services focused on patient-centered care. Our revenue cycle management team plays a vital role in ensuring patients access critical treatments through precise benefit verification, authorizations, and financial assistance support.
Schedule
- Full-time, remote (US-based)
- Department: Infusion & Revenue Cycle Management
What You’ll Do
- Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
- Secure insurance authorizations and pre-certifications for treatments and visits
- Manage insurance denial mitigation, including appeals and peer-to-peer reviews
- Maintain expertise in payer-specific authorization requirements and regulatory guidelines
- Review clinical documentation and ensure accurate application of J-codes, CPT, and ICD-10 codes
- Calculate and communicate patient financial responsibility clearly and compassionately
- Assist patients with financial support options, including copay programs and manufacturer assistance enrollment
What You Need
- High School Diploma or GED required
- 2–3 years of experience in medical insurance verification and authorizations (infusion experience preferred)
- Strong knowledge of insurance terminology, structures, and approval processes
- Familiarity with J-codes, CPT, ICD-10 coding, and medical terminology
- Prior Athena experience a plus (not required)
- Exceptional organizational skills, attention to detail, and critical thinking abilities
- Ability to manage multiple priorities in a fast-paced environment
Benefits
- Competitive compensation package
- Remote work flexibility
- Opportunities to expand expertise in infusion therapy and revenue cycle management
- Patient-first team culture with a focus on collaboration, accuracy, and access to care
Play a key role in ensuring patients receive timely care while supporting financial accessibility.
Be part of a healthcare team where your skills directly impact patient outcomes.
Happy Hunting,
~Two Chicks…