If you know insurance benefits, prior auths, and how to keep an infusion patient’s care from getting stuck in payer purgatory, this role is for you. You’ll verify coverage, secure authorizations, fight denials when they pop up, and help patients understand what they owe and what support programs can help.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by ensuring patients get the coverage approvals needed for treatment. This role sits at the intersection of patient care access and payer requirements, where accuracy, urgency, and follow-through matter.
Schedule
Remote, full-time
Department: Infusion & Revenue Cycle Management
Work expectations are aligned to 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 clearly communicate patient financial responsibility
⦁ Help patients access financial assistance, including patient assistance programs and manufacturer copay enrollment
⦁ Review clinical documentation as needed to support authorization and coverage decisions
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 medical terminology and clinical documentation
⦁ Strong organization, attention to detail, and ability to juggle multiple priorities
⦁ Solid critical thinking and decision-making skills in a fast-paced environment
⦁ Athena experience is a plus, not a requirement
Benefits
⦁ Remote, full-time position
⦁ Specialized experience in infusion authorizations and payer requirements
⦁ Opportunity to make a direct impact by preventing treatment delays and reducing patient financial stress
If you’ve been doing benefits and auth work and you’re ready for a role where your accuracy directly protects patient access to care, apply now. These infusion-focused authorization roles don’t stay open long.
Bring your payer knowledge, your documentation discipline, and your “let’s get this approved” energy.
Happy Hunting,
~Two Chicks…