If you’re the person other auth reps lean on when a payer gets messy, this is your lane. You’ll lead by example, keep infusion authorizations moving, and help protect patient access to care through clean benefits verification, strong documentation, and smart denial mitigation.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by ensuring coverage approvals are secured accurately and on time. This team sits close to patient access, payer rules, and clinical documentation, where speed and precision directly impact treatment.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Work expectations align with payer timelines, authorization turnaround, and patient scheduling needs
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 treatments
⦁ Support denial mitigation through peer-to-peer review coordination and appeals
⦁ Maintain working knowledge of payer-specific infusion drug authorization requirements and state/federal coverage guidelines
⦁ Calculate and communicate patient financial responsibility clearly and accurately
⦁ Help patients access financial assistance, including patient assistance programs and manufacturer copay enrollment
⦁ Review medical terminology and clinical documentation to support coverage decisions and approvals
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Strong knowledge of insurance terminology, plan structures, and authorization types
⦁ Experience working with J-codes, CPT, and ICD-10 coding
⦁ Comfort reviewing clinical documentation and medical terminology
⦁ Strong organization, attention to detail, and ability to juggle multiple priorities
⦁ Solid critical thinking and decisive judgment in a fast-paced environment
⦁ Athena experience is a plus, not a requirement
Benefits
⦁ Remote, full-time position
⦁ Leadership-track role within infusion authorizations and revenue cycle support
⦁ High-impact work that helps prevent treatment delays and reduces patient financial stress
Quick backbone note: this posting reads almost identical to the non-lead version. If they don’t list actual lead duties (coaching, QA, workflow ownership, escalation authority), that can mean two things: either they’re moving fast and posted a rough draft, or they want “lead” responsibility without “lead” clarity. If you apply, be ready to ask what makes it a Lead role in practice.
If you’re ready to take ownership, drive approvals, and be the steady hand when denials hit, make your move.
Happy Hunting,
~Two Chicks…