Play a key role in ensuring patients receive timely coverage for medical and infusion services. As the Benefits and Authorizations Specialist Lead, you’ll manage insurance verification, pre-authorizations, and patient financial support to help reduce barriers to care.
About Nira Medical
Nira Medical delivers infusion and revenue cycle management services with a focus on accuracy, compliance, and patient-centered care. By combining technology with human expertise, Nira helps providers and patients navigate complex insurance and reimbursement processes.
Schedule
- Full-time, 40 hours per week
- 100% remote, U.S.-based
- Reports to Infusion & Revenue Cycle Management leadership
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 services
- Facilitate denial mitigation, including peer-to-peer reviews and appeals
- Maintain up-to-date knowledge of payer drug authorization requirements and federal/state coverage guidelines
- Calculate and communicate patient financial responsibility
- Identify and support patients with financial assistance programs, including manufacturer copay enrollment
What You Need
- High school diploma or equivalent (required)
- 2–3 years of experience in medical insurance verification and prior authorizations (infusion services preferred)
- Knowledge of insurance terminology, plan structures, J-codes, CPT, and ICD-10 coding
- Prior experience with Athena (a plus, not required)
- Strong organizational and critical thinking skills
- Ability to multitask in a fast-paced, detail-driven environment
- Strong communication and documentation skills
Benefits
- Competitive salary
- Full-time benefits package (medical, dental, vision, retirement)
- Remote-first work environment
- Opportunity to support patients in accessing life-changing therapies
- Collaborative, mission-driven team culture
This role is a chance to make a real difference by helping patients overcome insurance hurdles while strengthening Nira Medical’s infusion services.
Take your expertise in benefits and authorizations to the next level with Nira Medical.
Happy Hunting,
~Two Chicks…