Be the reason patients get approved instead of stuck in limbo. If you know insurance verification, prior auths, and how to fight denials with clean documentation and smart follow-through, this role has real impact.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations that help patients access the services they need. This team focuses on insurance accuracy, authorization speed, and financial support so care can move forward without unnecessary 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 prior authorizations and pre-certifications for office visits and infusion services
⦁ Support denial mitigation, including peer-to-peer reviews and appeals
⦁ Maintain working knowledge of infusion drug authorization requirements across payers and regulatory guidelines
⦁ Calculate and communicate patient financial responsibility clearly and accurately
⦁ Help patients access financial assistance programs, including manufacturer copay support and enrollment resources
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 types, and approval types
⦁ Experience with J-codes, CPT, and ICD-10 coding
⦁ Medical terminology knowledge and ability to review clinical documentation
⦁ Strong organizational skills, detail focus, and ability to multitask in a fast-paced environment
⦁ Critical thinking skills and decisive judgment
⦁ Bonus: Athena experience (not required)
If you’re the kind of person who can spot what’s missing, fix it fast, and keep patients informed without sugarcoating, you’ll do well here.
These roles move quickly. If it fits, don’t overthink it.
Happy Hunting,
~Two Chicks…