Patient Referral Coordinator
hace 25 días
Syracuse
Job Description See your work in a new light. At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux—meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence. As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from our location in Syracuse, NY on-site three (3) days per week while working from home two (2) days per week. Work location is subject to change based on business needs. Join our team, bring your best, and receive a $1000 retention bonus as our way of saying thanks for being part of our success. Job Description: The Patient Referral Coordinator is responsible for the processing and coordination of all new referrals with the main objective being to clear all patients prior to service in order to ensure proper payment in compliance within all legal and regulatory parameters. This person will ensure accurate, efficient and timely processing of new referrals for Infusion and Enteral services to include, but not be limited to, obtaining all necessary supporting documentation, confirming insurance coverage, coding and pricing of products, documenting patient in applicable computer system, submitting for pre-authorization and coordinating of initial "pushing" of the referral. The Admissions Representative provides support and works collaboratively with referral sources, hospital liaisons, the pharmacy, nursing, and billing and branch personnel. QUALIFICATION REQUIREMENTS • Associate's degree in Business, Health Care Services, or Medical Sales required, • Minimum of one (1) year of experience in healthcare industry required, • Strong working knowledge of first- and third-party payer requirements as it pertains to the billing and collection industry, • Excellent management, communication, interpersonal, team-orientation, organizational and analytical skills, • Prioritization and multi-tasking skills, • Proficiency with problem resolution, • Self-motivated and self-disciplined, • Computer aptitude, • Mathematical aptitude QUALIFICATIONS PREFERRED • Minimum of two (2) years of experience with a home care company preferred, • Prior home infusion experience on the provider or payer side preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES • Provide knowledge and leadership regarding infusion intake processes by:, • Receiving new requests for services via phone, fax or other means, • Obtaining all information necessary to accurately process the referral according to established procedures, • Completing referral process within time frame required to meet the needs of the patient, family and referral source, • Accurately completing the patient record in applicable computer system to include all required demographics, insurance and clinical information; recording appropriate progress notes and alerts to present a clear concise picture of patient data, • Confirming insurance coverage for services requested; gathering detailed information regarding, but not limited to, eligibility, deductible, out of pocket, authorization requirements and patient obligations, • Communicating with referral source or liaison regarding, but not limited to, insurance coverage, information limitations and status of referral, • Obtaining insurance authorization when necessary; entering and documenting authorization according to established procedure; tracking authorizations due to expire and obtaining renewals as needed, • Assuring accurate and complete billing information is obtained and recorded to allow for timely claim submission and payment, thus reducing accounts receivable days outstanding, • Communicating any financial obligations to the patient or his/her designee; assuring their understanding and agreement to pay; establishing a payment method up-front, i.e. credit card, • Maintaining the pending referral log on a daily basis; attending rounds each morning prepared to discuss status of each patient, • Responding to requests for assistance from pharmacy billing and clinical personnel, • Remaining familiar with specific payer guidelines, requirements and contracts, • Staying current and implementing industry changes, • Consulting with the Admissions Director or Admissions Manager when faced with unfamiliar situations and when decisions outside of the Intake Representative's scope need to be made, • Assisting with special projects and perform other duties at the discretion of the Admissions Director or Admissions Manager, • Maintaining monthly Referral Census Log, • Serving as a company resource with regards to Infusion processing and reimbursement, • Demonstrating a professional, cooperative and friendly attitude toward all internal and external customers and co-workers; demonstrating excellent customer service skills, • Using discretion in handling confidential matters, • Adhere to departmental/company policies and procedures by:, • Adhering to policies and procedures, • Adhering to regulations set forth by Medicare and Medicaid, • Adhering to regulations set forth by insurance carriers, • Adhering to regulations set forth in established company contracts, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/company resources (vehicles, building, equipment, supplies, phone, utilities time at work, time absent from work, etc.), • Presenting fair and honest reports of expense, • Following through timely on commitments, • Returning phone calls and e-mails promptly, • Being flexible and having the ability to prioritize, • Allowing others to speak without interruption, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations, • Attempting to resolve KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Computer Skills • Become and remain proficient is all programs necessary for execution. Pay Range/Rate $20—$25 USD PHYSICAL DEMANDS The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. If you require a reasonable accommodation during the application or interview process, please contact the LUX Infusion Talent Team at Careers@LUXInfusion.com or 954.385.7322 x 1425. While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee may also be required to occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER REQUIREMENTS Employees are expected to: • Participate annually in required legal and ethical compliance training, • Consistently act in compliance with LUX Infusion's legal, ethical, and compliance policies, • Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual, • Refrain from any behavior that could be considered unethical or unlawfulEXPECTATIONS FOR ALL EMPLOYEES All LUX Infusion team members are expected to support the organization's mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm. This includes placing patients first, working collaboratively with a "stacked‑hands" mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement. GENERAL INFORMATION The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. This role operates in a fast‑paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion's services for individuals with disabilities, including patients, visitors, employees, or others. LUX Infusion 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, disability, protected veteran status, or any other characteristic protected by law.
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