- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Coordinator is a liaison between the providers and the patients. They are… more
- St. Luke's University Health Network (Allentown, PA)
- …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
- Merck (West Point, PA)
- …brand operating metrics. VCM PM will help the SCWG/ VCMT to serve as a network level escalation team, to manage issues and risks escalated from sites and functions ... that require network level responses and communications. This is a highly...business case/NPV analysis, product COGS interrogation and effective risk authorization stewardship. + Understanding of product commercial strategy to… more
- Merck (West Point, PA)
- …Additionally, the VCM PL will lead the SCWG/ VCMT to serve as a network level escalation team, to manage issues and risks escalated from sites and functions ... that require network level responses and communications. The VCM PL will...business case/NPV analysis, product COGS interrogation and effective risk authorization stewardship + Understanding of product commercial strategy to… more