Nira Medical
via Ashby
Benefits and Authorizations Specialist Lead
Posted 570 days ago, which is unusual. The employer's own board was still carrying it when we last read it, just now.
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked just now — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 570d ago
The date the source published, not the day we noticed it (2025-02-21). Last seen at its source just now.
Is it remote?
Remote
That is the location the employer filed this posting under. Quoted as written — we do not re-word the source's own location.
Who may apply?
Not stated
The description states no restriction of its own. This is the source's own tag.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
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ashby employer's own board first seen 11d ago · last seen just now
The listing
Job Summary: The Benefits Specialist Lead is responsible for verifying patient insurance coverage, submitting pre-authorizations, and financial assistance support to ensure patients receive coverage for medical and infusion services provided.
Key Responsibilities:
Verify and document insurance eligibility, benefits, and coverage for all office visits and infusion services.
Obtains insurance authorization and pre-certification for office visits and infusion services.
Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals.
Maintains a good working knowledge of infusion drug authorization requirements for all payers, state and federal regulatory guidelines for coverage and authorization.
Calculate and communicate patient financial responsibility.
Provide financial assistance support to patients including identifying patient assistance programs and manufacturer copay assistance enrollment.
Qualifications:
High school diploma or equivalent
2-3 years of experience in medical insurance verification and prior authorizations. Experience in infusion services is preferred.
· Knowledge of insurance terminology, plan types, structures, and approval types
· Previous experience with J-codes, CPT and ICD-10 coding
Previous Athena use a plus, but not a requirement
· Knowledge of medical terminology and clinical documentation review
Strong organizational skills
Detail-oriented
Ability to multi-task and work well in a fast-paced setting
Critical thinking skills and decisive judgment