Top 190 referral coordinator Jobs in durham nc

Triage Pharmacy Liaison (Infusion)
Shields Health Solutions —Durham, NC
- Per diem
- Microsoft Excel
- Customer service
- Mid-level
- Health insurance
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Wellness Coordinator - $2500 Hiring Bonus
Brookdale Senior Living Inc. —Durham, NC
- Full-time
- Nursing
- LVN
- RN License
- Health savings account
- Paid holidays
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Medication Technician
Brookdale Senior Living Inc. —Durham, NC
- $16.00 - $20.19 an hour
- Part-time
- Patient care
- Military encouraged
- Cleaning
- Health savings account
- Paid holidays
Quick Apply
Call Center Specialist
EMERGEORTHO, P.A. —Durham, NC
- Urgently hiring
- Remote
- Medical office experience
- HIPAA
- High school diploma or GED
- Paid training
- Health savings account
Quick Apply
4h
Appointment Coordinator - Duke Perinatal of Durham
Duke Health —Durham, NC
- Full-time
- Writing skills
- Basic math
- HIPAA
14d
Administrative Specialist - Outpatient Parenteral Antimicrobial Therapy (OPAT)
UNC Health —Chapel Hill, NC
- $18.66 - $26.51 an hour
- Part-time
- Microsoft Excel
- Mid-level
- Administrative experience
- Free parking
- Flexible schedule
Board Certified Behavior Analyst
Applied ABC —Raleigh, NC
- $100,000 a year
- 8 hour shift
- Management
- HIPAA
- Master's degree
- Continuing education credits
- Dental insurance
Quick Apply
9d
BCBA Assessment Coordinator
Blue Gems ABA —Raleigh, NC
- From $80 an hour
- Part-time
- Hybrid work
- Children
- Entry level
- Travel reimbursement
- Paid training
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CDL Driver Recruiter/Compliance Coordinator
Puryear Tank Lines —Apex, NC
- Full-time
- Mid-level
- Office
- Administrative experience
- Paid holidays
- Health insurance
5d
Certified Nursing Assistant (CNA)
Always Best Care Senior Services —Chapel Hill, NC
- $18 an hour
- Part-time
- 18 years or older
- High school diploma or GED
- Driver's License
- Mileage reimbursement
- Health insurance
Quick Apply
4d
Staff Development Coordinator $20,000 Sign On
Tower Nursing and Rehabilitation Center —Raleigh, NC
- Full-time
- Skilled nursing facility
- RN License
- Customer service
- Paid holidays
- Disability insurance
Quick Apply
Patient Admissions Officer - Advance Care at Home - Command Center
UNC Health —Chapel Hill, NC
- $38.55 - $55.43 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Mid-level
7d
Customer Service Specialist
State of North Carolina - Health & Human Services —Wake County, NC
- $41,206 - $72,113 a year
- Full-time
- Hybrid work
- 5 years
- Research
- Administrative experience
- Paid parental leave
- Health insurance
8d
Client Care Coordinator
Carolina Sexual Wellness Center —Durham, NC
- $19 an hour
- Full-time
- Background check
- Google Workspace
- Medical office experience
- Paid time off
- Retirement plan
Quick Apply
19h
Administrative Coordinator
Recovery Innovations —Durham, NC
- $21 an hour
- Full-time
- Background check
- 18 years or older
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
EMERGEORTHO, P.A. —Durham, NC
- Overtime
- CPR Certification
- Word processing
- BLS Certification
- Health savings account
- Paid holidays
Quick Apply
New Patient Care Coordinator
Advaita Health —Durham, NC
- Full-time
- Background check
- Current TB test
- Pass drug screening
- Health savings account
- Disability insurance
Quick Apply
14d
Administrative Assistant
Pasadena Villa Outpatient Center —Chapel Hill, NC
- Part-time
- Microsoft Outlook
- HIPAA
- Maintenance
Quick Apply
Community Responder EMT Coordinator
City of Durham —Durham, NC
- $52,903 - $82,086 a year
- Weekends as needed
- Spanish
- Ability to walk for extended periods
- Mid-level
- Paid holidays
- Disability insurance
Program Specialist - Care Coordinator
Duke Health —Durham, NC
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA

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Triage Pharmacy Liaison (Infusion)

Shields Health Solutions -
Durham, NC

Quick Apply

Job Details

Per diem

Benefits

Health insurance

Qualifications

Customer communication
Confidential information handling
Overseeing health insurance pre-certification
Electronic health records (EHR) management
Medical insurance coverage verification
Customer service
Pharmacy Technician License
Patient management software
High school diploma or GED
Math
Registered Pharmacy Technician
Productivity software
Pharmacy software

Full Job Description

This role is onsite in Durham, NC for the first 6-8 weeks of training. Once the new hire is fully stabilized, they will be able to work hybrid 2-3 days a week onsite.

Job Purpose:

The company is seeking a highly motivated, detail-oriented, and dependable Triage Liaison to support our rapidly growing healthcare provider administered (HCPA) medication operations. This role is responsible for receiving, assessing, and directing incoming prescriptions and HCPA referrals to the appropriate site of care – Hospital Outpatient Departments (HOPD), Ambulatory Infusion Centers (AIC), Home Infusion (HI), or external/contract pharmacies/agencies. This role also ensures patients are routed efficiently based on insurance requirements, patient preference, clinical needs, reimbursement feasibility, and operational capacity. The RxTriage Liaison acts as the first decision point in the referral workflow process and collaborates with pharmacy, nursing, intake, revenue cycle management, and clinical partners to ensure timely access to care. The RxTriage Liaison will support a specific specialty clinic/s or be part of a centralized intake team serving multiple clinics and disease states/diagnosis requiring infusion therapy.

Key Responsibilities

Referral Intake & Routing

Receive and review all incoming specialty and HCPA medication orders/referrals.
Evaluate referral type, diagnosis, therapy, urgency, payer requirements, patient preference/home-care eligibility and clinicals documentation to determine the correct pathway (HOPD, AIC, HI, external entities).
Verify patient demographics, prescriber information, therapy details, and completeness of required documentation
Identify whether medication is billable under medical or pharmacy benefits and route accordingly.

Benefit & Eligibility Screening (Initial-Level Triage)

Conduct preliminary benefits review to identify:
- Coverage requirements (site-of-care mandates, white-bagging, brown-bagging, or specialty pharmacy restrictions).
- Whether therapy is eligible for in-house care vs. must be dispensed externally.
- Potential red flags requiring escalation (e.g., no coverage, non-formulary status, narrow network).
Communicate initial payer findings to the appropriate downstream teams (Intake Coordinator, Financial Coordinator, Pharmacy team, Partner, etc.).

Clinical & Operational Assessment

Confirm whether required clinical documentation is present (labs, progress notes, treatment plans, diagnoses, etc.).
Identify missing elements and request documentation from providers as needed for appropriate routing.
Assess operational considerations including:
- Product availability or procurement barriers
- Nursing service availability (for home infusion)
- Infusion center capacity
- Ensure readiness before finalizing referral destination.

Cross-Team Communication & Coordination

Serve as the central liaison between intake, pharmacy, clinical teams, ambulatory infusion centers, and home infusion services.
Communicate routing decisions clearly and promptly to:
Pharmacy teams (internal and external)
Nursing coordinators
Intake/pre cert teams
Providers and clinic staff
Ensure referrals move seamlessly into the correct workflow for benefits investigation, authorization, scheduling, and dispensing.

Documentation & Compliance

Accurately record all triage actions, decision rationale, communications, and next steps in designated platforms (e.g., EMR, TRX, referral management systems).
Maintain compliance with payer rules, infusion therapy standards, and site of care policies.
Support audits or quality reviews by ensuring documentation is complete and consistent.

Patient Interaction

As needed, contact patients to clarify insurance, care preferences, or logistical considerations impacting routing.
Provide a high-touch, supportive experience when discussing site-of-care expectations or next steps.

Additional Responsibilities

Collaborate with formulary or reimbursement specialists to identify preferred alternatives when necessary.
Support process improvement efforts to streamline triage and referral routing.
Assist with staff training on referral pathways, payer rules, and site of care policies.

Skills: Strong interpersonal communication skills, ability to work independently and demonstrate good judgement, strong verbal and written communication, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other software programs and able to extract relevant information; strong organizational/administrative skills a must. Knowledge of insurance plans, authorization processes, and medical terminology; strong problem-solving and critical-thinking skills.

Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, strong listener/communicator, proactive, and patient-focused

Other: Energetic, highly motivated, adaptable, and team-oriented with strong personal and communication skills; strong customer service skills; discretion and confidentiality essential as position deals with highly sensitive and private data

Experience & Requirements

Required

Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as pharmacy technician.
Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.
Years of Experience: Required 2 years, Preferred 3-5 years' experience as a Pharmacy Technician
Education: High School Diploma or GED required

Preferred:

Nationally certified as a CPhT or equivalent.
3+ years' experience with infusions, coordinating and subcontracting referrals, infusion and medical reimbursement; experience must include medical pre-certification, benefits investigation, prior authorization, and financial assistance
Experience with infusion, specialty pharmacy, and/or home infusion workflows
Understands the pre-certification process for specialty/non-specialty infusions; knowledge and understanding of nuances of infusion therapy v. "standard" outpatient specialty pharmacy
Experience with major and local medical plans preferred; strong knowledge of Medicare and Medicaid regulations and commercial insurer criteria for payment of infusion and home care services
Understanding of medical vs. pharmacy benefit distinctions, site‑of‑care policies, white‑bagging/brown‑bagging requirements, and authorization processes
Familiarity with J‑codes, HCPCS codes (including per diem and nursing), and common infused medications
Highly proficient in systems such as MS Office (e.g., Word, Excel), EMR systems (e.g., EPIC, Cerner), and dispensing systems (e.g. CPR+, EPIC WAM)
Strong interpersonal skills, strong verbal and written communication skills
Strong mathematical skills, including calculating doses, out of pocket costs based on benefits
Strong time management skills
Strong communication, critical thinking, and clinical documentation review skills; ability to make fast, accurate routing decisions based on payer rules, clinical factors, and operational constraints

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Refine Your Search

referral coordinator jobs in durham nc

Triage Pharmacy Liaison (Infusion)

Wellness Coordinator - $2500 Hiring Bonus

Medication Technician

Call Center Specialist

Appointment Coordinator - Duke Perinatal of Durham

Administrative Specialist - Outpatient Parenteral Antimicrobial Therapy (OPAT)

Board Certified Behavior Analyst

BCBA Assessment Coordinator

CDL Driver Recruiter/Compliance Coordinator

Certified Nursing Assistant (CNA)

Staff Development Coordinator $20,000 Sign On

Patient Admissions Officer - Advance Care at Home - Command Center

Customer Service Specialist

Client Care Coordinator

Administrative Coordinator

Medical Assistant

New Patient Care Coordinator

Administrative Assistant

Community Responder EMT Coordinator

Program Specialist - Care Coordinator

I want to receive the latest job alert for referral coordinator in durham nc

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