Referral Coordinator

About the Position

Referral Coordinator

Remote | Full-Time | Revenue Operations

About the Company

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.

Responsibilities

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.

Requirements

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 escalate 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.

We Offer

• 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.

About the Company

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 [email protected].