Referral Coordinator - Full Time (Remote) with
$52k - $72kNuvemRx
Remote | Full-Time | Revenue Operations Who We Are NuvemRx helps community health providers deliver on their mission by simplifying the complexity of pharmacy operations, with a suite of scalable solutions that integrate software, intelligence, and expert support to illuminate savings, expand access, and elevate patient care.
What We Are Looking For At NuvemRx, we hold a high bar because our work directly impacts patient care. Every choice is a chance to serve our customers and improve healthcare
About the Role As a Referral Coordinator, you will play a critical role in optimizing and managing the referral capture process for Covered Entities contracted with NuvemRx. The 340B Drug Pricing Program is designed to help eligible healthcare organizations generate savings and provide patients with access to discounted medications, and your work ensures that eligible claims are identified, documented, and captured accurately.
This is a fully remote position.
What You'll Do Claim Review & Referral Capture Review potentially eligible prescription claims for high-priority clients, applying knowledge of medications, specialties, and program eligibility criteria.
Find and record necessary information and documentation related to claim eligibility across various electronic medical record (EMR) systems.
Coordinate with facilities to retrieve paper or electronic medical records, requesting copies by mail, fax, or remote retrieval as appropriate.
Capture verified claims based on client requirements and contract terms.
Audit, review, and attach records to NuvemRx's proprietary software system accurately and on time.
Assist the department with regular claim reviews and handle daily inbound requests related to claim status and eligibility.
Client Reporting & Stakeholder Coordination Develop and present reports with claim details, claim status, and program analytics directly to clients.
Run client meetings and coordinate with key stakeholders at health centers and covered entities.
Track and uphold department-wide KPIs related to claim review and capture rates.
Compliance & Quality Comply with HIPAA at all times, ensuring appropriate handling and protection of patient records and information.
Maintain current HIPAA and Fraud, Waste, and Abuse (FWA) awareness and credentialing.
Assist with training opportunities and onboarding of new team members as needed.
Support special projects and other duties as assigned.
Familiarity with electronic medical record (EMR) systems and comfort navigating multiple platforms.
Strong customer service orientation, with confidence running client meetings and presenting to stakeholders.
Strong attention to detail, particularly in documentation, data entry, and record review.
Proficiency in Microsoft Excel and the broader Microsoft Office suite.
Preferred Experience Experience with 340B program operations, referral capture, or covered entity workflows.
Familiarity with par8o, nuReferrals, or similar referral management platforms.
Who Thrives in This Role You are detail-oriented and take quality seriously — you understand that accuracy in claim documentation directly affects your clients' programs.
You are energized by mission-driven work and find meaning in helping community health organizations maximize the impact of 340B savings for their patients.
Benefits Remote-first work environment
Flexible PTO
Medical, dental, vision
Life and disability coverage
Employee Assistance Program
WFH stipend
Actual compensation may vary based on skills, location, and internal equity.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.
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