Patient Referral Coordinator

LUX Infusion•Syracuse, NY

11h•$20 - $25•Hybrid

About The Position

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.

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
Speak clearly and persuasively in positive or negative situations; listen and get clarification; Respond well to questions; Demonstrate group presentation skills; Participate in meetings.
Write clearly and informatively; Edit work for spelling and grammar; Vary writing style to meet needs; Present numerical data effectively; Able to read and interpret written information.
Become and remain proficient is all programs necessary for execution.
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 unlawful
Support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm.
Place patients first, work collaboratively with a “stacked‑hands” mindset, and maintain a consistent focus on quality, accountability, and continuous improvement.
Operates in a fast-paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate.
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.

Nice To Haves

Minimum of two (2) years of experience with a home care company preferred
Prior home infusion experience on the provider or payer side preferred

Responsibilities

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.
Ensuring 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.
Providing support and working collaboratively with referral sources, hospital liaisons, the pharmacy, nursing, and billing and branch personnel.
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.
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.
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.