If you’re the person who can translate insurance chaos into clear approvals, clean authorizations, and calm patients, Nira Medical needs you. This lead role sits inside Infusion and Revenue Cycle Management, making sure office visits and infusion services get covered, approved, and financially understood before care happens.
About Nira Medical
Nira Medical supports neurological practices with a focus on expanding access to treatment and delivering strong patient outcomes through a clinician-led, patient-centered model.
Schedule
Remote
Full time
What You’ll Do
- Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
- Obtain prior authorizations and pre-certifications for office visits and infusion services
- Support denial mitigation work, including peer-to-peer coordination and appeals
- Stay current on infusion drug authorization requirements across payers and relevant state/federal coverage rules
- Calculate patient financial responsibility and communicate it clearly
- Help patients access financial support, including patient assistance programs and manufacturer copay assistance 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 working with J-codes, CPT, and ICD-10 coding
- Ability to review clinical documentation and understand medical terminology
- Strong organization, attention to detail, and comfort juggling multiple priorities
- Strong critical thinking and decisive judgment in a fast-paced setting
- Athena experience is a plus (not required)
Benefits
Not listed in the posting.
If you’ve done prior auths long enough to know the difference between “pending” and “dead in the water,” this one’s worth a look.
Happy Hunting,
~Two Chicks…