Referral Coordinator
New
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NuvemRxPharmacy Operations
Location: United StatesFull-TimeMiddle
Salary52,000 - 72,000 USD per year
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Job Details
- Experience
- Minimum 2 years of experience in a healthcare or pharmacy setting
- Required Skills
- Microsoft ExcelMicrosoft OfficeCustomer serviceData entry
Requirements
- Minimum 2 years of experience in a healthcare or pharmacy setting.
- Familiarity with electronic medical record (EMR) systems and comfort navigating multiple platforms.
- Proficiency in Microsoft Excel and the broader Microsoft Office suite.
- Strong customer service orientation with the ability to conduct client meetings.
- Effective verbal and written communication skills.
- Highly organized with the ability to manage multiple priorities.
- Strong attention to detail in data entry and record review.
- Sound judgment and resourcefulness in problem-solving.
- Experience with 340B program operations, referral capture, or covered entity workflows (preferred).
- Familiarity with par8o, nuReferrals, or similar referral management platforms (preferred).
Responsibilities
- Review potentially eligible prescription claims for high-priority clients using knowledge of medications and specialty criteria.
- Record claim eligibility documentation by navigating various electronic medical record (EMR) systems.
- Coordinate with facilities to retrieve medical records via mail, fax, or remote access.
- Audit, review, and attach records to the company proprietary software system accurately and on time.
- Develop and present program analytics, claim status reports, and details directly to clients.
- Conduct client meetings and coordinate with key stakeholders at health centers.
- Maintain HIPAA compliance and FWA awareness while protecting patient records.
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