If you know insurance verification and prior auths like the back of your hand and you’re the person people go to when denials hit or coverage gets messy, this lead role is your lane.
About Nira Medical
Nira Medical supports patient care through its Infusion & Revenue Cycle Management operations, helping patients access coverage for medical and infusion services through strong benefits verification, authorization workflows, and financial support navigation.
Schedule
- Full-time
- Remote
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 steps such as peer-to-peer reviews and appeals
- Maintain working knowledge of infusion drug authorization requirements across payers, including state and federal coverage and authorization guidelines
- Calculate and clearly communicate patient financial responsibility
- Support patients with financial assistance, including identifying assistance programs and enrolling patients in manufacturer copay assistance
What You Need
- High school diploma or equivalent
- 2–3 years of experience in medical insurance verification and prior authorizations
- Infusion services experience (preferred)
- Knowledge of insurance terminology, plan types, structures, and approval types
- Experience with J-codes, CPT, and ICD-10 coding
- Athena experience (a plus, not required)
- Knowledge of medical terminology and clinical documentation review
- Strong organizational skills and attention to detail
- Ability to multitask in a fast-paced environment
- Critical thinking skills and decisive judgment
Benefits
- Not listed in the posting
If you’re ready to lead the front end of access and authorizations so patients can actually receive care without delays, this one’s worth a look.
Happy Hunting,
~Two Chicks…