Referral Coordinator/Patient Access/Pharmacy Technician - Infusion

Position Summary

The Infusion Referral Coordination Specialist is responsible for managing infusion referrals and coordinating the intake process to ensure patients receive timely access to treatment. This role involves reviewing referrals, obtaining missing documentation, verifying insurance benefits, securing prior authorizations, and coordinating with patients, referring providers, and internal healthcare teams.

The ideal candidate will have hands-on infusion experience, strong knowledge of pharmacy-related requirements, and a solid understanding of infusion referral and intake workflows. The ability to manage a high volume of referrals independently while maintaining accuracy, accountability, and timely follow-through is essential.

Required Qualifications

• Associate’s degree in Healthcare Administration, Health Information Management, Health Sciences, Medical Assisting, Nursing, Allied Health, Public Health, or a related healthcare field.
• Direct infusion experience is required; 5 years of infusion experience is strongly preferred.
• Strong knowledge of infusion referral coordination and intake workflows.
• Pharmacy knowledge, including familiarity with medication requirements, payer medical policies, and authorization guidelines.
• Experience managing referrals from initial receipt through completion.
• Hands-on experience obtaining missing documentation and following up with referring providers.
• Experience with insurance benefits verification and prior authorizations.
• Knowledge of payer requirements, medical policies, billing guidelines, step therapy, and non-preferred drug requirements.
• Experience communicating with patients, providers, and cross-functional healthcare teams.
• Ability to manage a high-volume workload, prioritize competing tasks, and meet turnaround expectations.
• Strong written and verbal communication, organizational, and problem-solving skills.
• Ability to work independently in a fast-paced, fully remote environment.

Preferred Qualifications

• 5 years of direct infusion experience.
• Experience using WeInfuse and/or InfuseFlow.
• Experience in a high-volume Patient Access or infusion intake environment.
• Candidates located in the Eastern Time Zone are preferred.

Key Responsibilities

• Review incoming infusion referrals, orders, and supporting documentation for completeness and accuracy.
• Review incoming faxes and route documents to the appropriate departments for timely processing.
• Identify missing or incomplete information and proactively follow up with referring providers to obtain required documentation.
• Monitor pending referrals and maintain consistent follow-up until all requirements are met.
• Review payer medical policies, billing guidelines, and coverage requirements to identify authorization, documentation, step-therapy, and non-preferred medication requirements.
• Perform insurance benefits verification and obtain prior authorizations for new and existing patients.
• Create and maintain accurate patient records, referral documentation, and order information within the appropriate systems.
• Obtain renewal orders, change orders, and supporting office notes for active patients.
• Enter and update medication and treatment orders for nursing review, as applicable.
• Coordinate with Sales, Intake, nursing, clinical teams, and referring providers to move completed referrals through the intake process.
• Communicate with patients regarding insurance benefits, coverage details, and applicable copay assistance programs.
• Review intake information with patients and obtain required acknowledgments.
• Document benefits verification, authorization details, outstanding requirements, and referral-processing activities accurately.
• Track expiring orders and coordinate timely renewals and outstanding documentation.
• Proactively identify and resolve referral barriers that may delay patient access to infusion treatment.
• Manage multiple referrals simultaneously while maintaining accuracy, accountability, and established turnaround times.
• Perform other related duties as assigned.

Technical Skills

• Infusion referral and intake coordination
• Pharmacy and medication-related requirements
• Insurance benefits verification
• Prior authorization processing
• Payer medical policy review
• Referral and patient management systems
• Electronic documentation and order entry
• WeInfuse and/or InfuseFlow (preferred)

Key Competencies

• Ownership and accountability
• Attention to detail and accuracy
• Proactive follow-up and problem-solving
• Strong time management and prioritization
• Patient-focused communication
• Cross-functional collaboration
• Ability to work independently in a remote setting

AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.