Patient Referral Coordinator

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 [email protected] 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