Intake Manager

LUX Infusion•Las Vegas, NV

22h•Remote

About The Position

The Intake Manager is responsible for overseeing and managing the front-end referral and admissions process for Lux Infusion, including Benefit Verification (BV), prior authorization (PA), and re-authorization activities. This role ensures referrals are processed accurately, efficiently, and in compliance with payer, regulatory, and accreditation requirements. The Intake Manager leads and supports the Intake and Referral Management teams, ensuring high performance, consistent workflows, and exceptional service for patients, prescribers, and internal stakeholders. This position partners closely with Pharmacy Services, Nursing Services, Sales, Reimbursement, and Executive Leadership to support seamless end-to-end patient onboarding and therapy initiation.

Requirements

High School Diploma or equivalent; Bachelor’s Degree preferred
Minimum of 5 years experience managing patient referral, intake, care coordination, or prescription services within infusion (home or ambulatory) or specialty therapy settings
3–5 years experience with infusion or specialty therapy reimbursement, payer requirements, or authorization processes
3–5 years experience supporting provider, healthcare facility, patient, and field-facing communications related to intake or referral services
1–3 years of people management or supervisory experience
Strong understanding of financial reporting, payer trends, and operational metrics
Advanced proficiency with Microsoft Office, including Excel
Knowledge of medical terminology, including ICD-10 coding
Ability to travel up to 5% for business needs

Nice To Haves

1–3 years people management experience overseeing pharmacy intake or referral coordination teams
Strong working knowledge of infusion therapies and patient qualification requirements
General understanding of payer contracts, coverage criteria, and operational implications for infused or specialty therapies
Experience leading teams through benefit investigation, authorization workflows, and documentation reconciliation
Familiarity with CareTend or similar intake/pharmacy management systems

Responsibilities

Lead and manage all Intake and Referral Management operations, including referral intake, documentation review, benefit verification, prior authorizations, and re-authorizations
Establish and monitor standard performance metrics and service-level agreements (SLAs) to ensure referral pull-through and timely therapy initiation
Develop, implement, and maintain standardized workflows and operating procedures for intake and referral processes
Ensure complete, accurate, and compliant documentation within patient records for all referral-related interactions
Serve as a point of escalation for complex intake, referral, payer, or documentation issues
Collaborate cross-functionally with Pharmacy Operations, Nursing, Sales, Reimbursement, and Patient Services to ensure optimal patient outcomes
Analyze daily, weekly, and monthly performance data to identify trends, risks, and improvement opportunities
Support staffing models and resource allocation to align with referral volumes and organizational growth
Maintain clear and consistent communication with Intake and Patient Services team members regarding process, system, or policy updates
Support accreditation, audit, and regulatory activities (ACHC, URAC, payer audits, etc.), including data gathering and documentation review
Participate in quality improvement initiatives and performance improvement programs
Ensure strict adherence to HIPAA and patient confidentiality requirements