Remote 340B Referral Specialist

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

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.