Remote 340B Referral Specialist

NuvemRx; United States; À distance; USD 52 000 - 72 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

NuvemRx is seeking a detail‑driven Referral Coordinator to optimize and manage the referral capture process for 340B clients. This fully remote role demands healthcare knowledge, strong organization, and the ability to coordinate with clinics and internal teams.

You will review claims, collect eligibility data across EMR platforms, and generate client reports while maintaining HIPAA compliance and data quality. Join a mission‑driven team expanding access to discounted medications for patients.

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 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 escape 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.

Responsabilités

• 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 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.

Connaissances

Healthcare experience

EMR systems

Customer service

Verbal communication

Written communication

Organization

Attention to detail

Excel

Outils

par8o

nuReferrals

Description du poste

NuvemRx is seeking a detail‑driven Referral Coordinator to optimize and manage the referral capture process for 340B clients. This fully remote role demands healthcare knowledge, strong organization, and the ability to coordinate with clinics and internal teams.

You will review claims, collect eligibility data across EMR platforms, and generate client reports while maintaining HIPAA compliance and data quality. Join a mission‑driven team expanding access to discounted medications for patients.