Ensure patients receive timely insurance approvals and financial assistance for vital medical and infusion services.
About Nira Medical
Nira Medical provides exceptional infusion and medical services, ensuring patients have the coverage and financial support they need for their care. We work closely with patients, insurers, and assistance programs to remove barriers to treatment.
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 pre-certifications and authorizations for visits and infusions
- Facilitate denial mitigation steps including peer-to-peer reviews and appeals
- Maintain knowledge of infusion drug authorization requirements and payer guidelines
- Calculate and communicate patient financial responsibilities
- Identify and enroll patients in financial assistance and manufacturer copay programs
What You Need
- High school diploma or equivalent
- 2–3 years of medical insurance verification and prior authorization experience (infusion services preferred)
- Knowledge of insurance terminology, plan types, J-codes, CPT, and ICD-10 coding
- Experience reviewing clinical documentation
- Strong organizational skills, detail orientation, and ability to multitask
- Critical thinking and sound judgment
- Athena experience a plus
Benefits
- Competitive pay
- Medical, dental, and vision insurance
- Paid time off and holidays
- Supportive, patient-centered work environment
Happy Hunting,
~Two Chicks…