This is one of those behind-the-scenes healthcare roles that directly affects whether a patient actually gets care or gets stuck in limbo. If you’re sharp with insurance verification, prior auths, and appeals, you’ll be the person keeping infusion services moving.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by making sure benefits, authorizations, and financial pathways are handled correctly and efficiently. The goal is simple: reduce delays and help patients access medically necessary infusion and office visit services without chaos.
Schedule
- Full-time
- Remote
- Fast-paced revenue cycle environment with high attention to detail
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Obtain pre-authorizations and pre-certifications for office visits and infusion services
⦁ Support denial mitigation, including peer-to-peer review coordination and appeals
⦁ Maintain working knowledge of infusion drug authorization requirements across payers and relevant state/federal guidelines
⦁ Calculate and clearly communicate patient financial responsibility
⦁ Help patients access financial assistance programs, including manufacturer copay programs and patient 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 structures, and approval types
⦁ Experience with J-codes, CPT, and ICD-10 coding
⦁ Athena experience is a plus
⦁ Medical terminology knowledge and ability to review clinical documentation
⦁ Strong organization, attention to detail, and ability to multitask in a fast-paced setting
⦁ Critical thinking and solid judgment
Benefits
⦁ Not listed in the posting (ask about benefits package, PTO, and equipment stipend during screening)
Quick reality check: this role lives and dies on accuracy. If you’re the “close enough” type, don’t touch it. If you’re the “let me verify that twice and document it clean” type, you’ll look like a hero here.
Happy Hunting,
~Two Chicks…