This role is for someone who can keep patients moving and revenue flowing by locking in eligibility, authorizations, and financial assistance before services hit the fan.
About Nira Medical
Nira Medical supports physician-led, patient-centered independent practices with a focus on advancing neurological care. The Infusion & Revenue Cycle Management team helps ensure patients can access services with clean coverage, accurate approvals, and minimal delays.
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 insurance authorizations and pre-certifications for services
- Support denial mitigation, including peer-to-peer coordination and appeals
- Maintain working knowledge of infusion drug authorization requirements across payers, plus state/federal guidelines
- Calculate and clearly communicate patient financial responsibility
- Support financial assistance efforts, including patient assistance programs and manufacturer copay enrollment
What You Need
- High school diploma or equivalent
- 2–3 years of insurance verification and prior authorization experience (infusion preferred)
- Knowledge of insurance terminology, plan types, structures, and approval types
- Experience with J-codes, CPT, and ICD-10 coding
- Ability to review clinical documentation and apply medical terminology
- Strong organizational skills and attention to detail
- Ability to multitask in a fast-paced environment
- Critical thinking skills and decisive judgment
- Athena experience is a plus, not required
Benefits
Not listed in the posting.
Move you forward: if you want to apply, tailor your resume bullets around volume + outcomes (daily auth counts, turnaround time, denial/appeal wins, payer mix, infusion drugs worked, and financial assistance enrollments). That’s what will separate you from “I’ve done auths” people.
Happy Hunting,
~Two Chicks…