You’ll be the person who makes “we’ll bill your insurance” actually mean something. If you’re sharp with benefits verification, fast with authorizations, and you know how to fight a denial without breaking a sweat, this role keeps patients covered and care moving.
About Nira Medical
Nira Medical is a national partnership of physician led, patient centered independent practices focused on advancing neurological care. They help clinicians deliver life changing treatments through strong operational support, smart systems, and a collaborative care network. Their Infusion & Revenue Cycle team helps remove coverage barriers so patients can get the services they need.
Schedule
- Full time, remote
- Department: Infusion & Revenue Cycle Management
- Works cross functionally with clinical and revenue cycle teams to support timely authorizations and coverage outcomes
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Submit pre authorizations and obtain pre certification approvals for services and infusion drugs
⦁ Calculate patient financial responsibility and clearly communicate expected costs
⦁ Support patients with financial assistance, including manufacturer copay programs and patient assistance enrollment
⦁ Help mitigate denials through peer to peer coordination, appeals, and other denial resolution steps
⦁ Maintain working knowledge of infusion drug authorization requirements across commercial, state, and federal payers
⦁ Stay aligned with regulatory guidelines and payer specific rules impacting coverage and authorization
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Strong understanding of insurance terminology, plan types, and approval structures
⦁ Experience working with J codes, CPT, and ICD 10 coding
⦁ Ability to review clinical documentation and understand relevant medical terminology
⦁ Strong organization, attention to detail, and the ability to multitask in a fast paced environment
⦁ Solid critical thinking skills and confident judgment when solving coverage issues
Benefits
⦁ Fully remote role
⦁ Mission driven work supporting access to neurological treatments
⦁ Fast paced, high impact work that directly supports patient care
⦁ Athena experience welcomed (not required)
Roles like this move fast. If you’re interested, jump on it while it’s open.
Help patients get approved, get covered, and get treated without unnecessary delays.
Happy Hunting,
~Two Chicks…