This is the same core mission as the specialist role, but with “lead energy” baked in: you’re the person who sets the pace, hints at best practices, and helps keep authorizations and infusion coverage moving smoothly. If you’re already solid in prior auth and denial navigation, this is a clean step up.
About Nira Medical
Nira Medical supports medical and infusion services through strong revenue cycle operations. This role sits in Infusion & Revenue Cycle Management, helping patients access treatment by verifying coverage, securing approvals, and connecting them to financial support when needed.
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 working knowledge of infusion drug authorization requirements across payers and state/federal guidelines
⦁ Calculate and communicate patient financial responsibility clearly and accurately
⦁ Help patients access financial support, including patient assistance programs and manufacturer copay enrollment
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Knowledge of insurance terminology, plan types/structures, and approval types
⦁ Experience with J-codes, CPT, and ICD-10
⦁ Ability to review clinical documentation using medical terminology
⦁ Strong organizational skills and attention to detail
⦁ Ability to multitask in a fast-paced setting
⦁ Critical thinking and decisive judgment
⦁ Athena experience is a plus (not required)
Benefits
⦁ Remote, full-time role in a specialized revenue cycle function
⦁ Work that directly impacts patient access to infusion treatment
⦁ Opportunity to deepen expertise in payer requirements, denials, and specialty authorizations
One honest note: this posting reads almost identical to the non-lead version. If you apply, be ready to speak to the “lead” piece in interviews anyway (training others, QA, handling escalations, tightening workflows), even if it’s not spelled out here.
If you’re ready to be the go-to person who keeps approvals moving and patients supported, jump on it.
Happy Hunting,
~Two Chicks…