Referral Coordinator

NuvemRx; United States; On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Remote-first work environment

Competitive compensation

Flexible PTO

Medical, dental, vision

401(k) with match

Life and disability coverage

Employee Assistance Program

WFH stipend

Job summary

NuvemRx is seeking a Remote Referral Coordinator to optimize and manage the referral capture process for covered entities. The role focuses on 340B program eligibility, documentation, and accurate data entry across EMR systems to ensure eligible claims are identified and captured. This is a fully remote position.

You will coordinate with clinical staff, clients, and internal stakeholders, review claims, and maintain program analytics while adhering to HIPAA and compliance standards.

Qualifications

• Minimum 2 years of experience in a healthcare or pharmacy setting.
• Familiarity with electronic medical record (EMR) systems and comfort navigating multiple platforms.
• Strong customer service orientation with confident client meetings and stakeholder presentations.
• Effective verbal and written communication skills—clear, professional, and concise.
• Highly organized with the ability to manage multiple priorities and meet deadlines.
• Sound judgment and resourcefulness in problem-solving; able to work independently.
• Accountability-driven: takes on delegated tasks and sees them through to completion.
• Strong attention to detail, particularly in documentation, data entry, and record review.
• Proficiency in Microsoft Excel and the broader Microsoft Office suite.

Responsibilities

• 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.
• 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.
• Provide feedback to management on findings, error rates, and opportunities for improvement.
• Comply with HIPAA at all times, ensuring 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.

Skills

EMR systems

Customer service

Verbal & written communication

Organization

Attention to detail

Microsoft Excel

Independent work

Accountability

Multitasking

Tools

par8o

nuReferrals

Job description

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.

Remote | Full-Time | Revenue Operations

What We Are Looking For

At NuvemRx, we hold a high bar because our work directly impacts patient care. We look for people who embody our core values:

• Mission Always: Every choice is a chance to serve our customers and improve healthcare


• Be a Pioneer: Take initiative, solve problems, and build what does not yet exist


• Do the Right Thing the Right Way: Lead with integrity, compliance, and thoughtful execution


• Stronger Together: Own your role, collaborate deeply, and elevate the team

We are also a fast-growing company, which means you bring strong ownership, comfort with ambiguity, resilience, and a bias toward action.

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 role requires a solid understanding of medications and healthcare specialties, sharp attention to detail, excellent follow-through, and the ability to coordinate effectively with clients, clinical staff, and internal stakeholders. 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.


• Provide feedback to management on findings, error rates, and opportunities for improvement.

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.

What You Bring

Core Capabilities

• Minimum 2 years of experience in a healthcare or pharmacy setting.


• 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.


• Effective verbal and written communication skills — clear, professional, and concise.


• Highly organized with the ability to manage multiple priorities and meet deadlines consistently.


• Sound judgment and resourcefulness in problem-solving; able to work independently and elevate appropriately.


• Accountability-driven: takes on delegated tasks and sees them through to completion.


• 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 follow through. When you take on a task, it gets done, and you loop in the right people when something isn't adding up.


• You are comfortable owning client relationships and presenting your work with confidence.


• You are organized and calm under volume — managing multiple client queues and deadlines doesn't rattle you.


• 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


• Competitive compensation


• Flexible PTO


• Medical, dental, vision


• 401(k) with match


• Life and disability coverage


• Employee Assistance Program


• Mission-driven team


• WFH stipend

Compensation

The expected base salary for this role is $52,000–$72,000, commensurate with experience and qualifications. Actual compensation may vary based on skills, location, and internal equity.

NuvemRx complies with applicable pay transparency laws. The compensation range listed reflects the expected base salary at the time of posting, and actual compensation may vary.

NuvemRx is an equal opportunity employer. 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.

NuvemRx is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us at [e-mail].