Clinical Financial Case Mgr

The Ohio State University

Columbus, OH, US
Not specified; not specified; not specified
Onsite
Prior authorization submission management
Electronic medical record navigation
Patient benefit verification skills
The role is responsible for following up on all prior authorization submissions and communicating status to the clinical team

Job Summary

  • The role is responsible for following up on all prior authorization submissions and communicating status to the clinical team.
  • Candidates must possess an active OH Board of Pharmacy Certified Pharmacy Technician license to be considered for hire.
  • The position requires navigating electronic medical records to interpret lab results, genetic testing, and pathology data for authorization decisions.

Matching Summary

The role is responsible for following up on all prior authorization submissions and communicating status to the clinical team.

Salary

Not specified; Not specified; Not specified

Skills & Requirements

Must-have

  • Prior authorization submission management
  • Electronic medical record navigation
  • Patient benefit verification skills
  • Clinical evidence gathering expertise

Nice-to-have

  • Strong verbal and written communication
  • Understanding of disease implications
  • Experience with treatment modalities
  • Trend identification in denials

Key Requirements

  • Active OH Board of Pharmacy Certified Pharmacy Technician license
  • Minimum 3 years pharmacy experience preferred
  • Knowledge of Medicare and commercial insurance reimbursement
  • General knowledge of ICD-10 codes

Work Rights

Not specified

Tailored Resume

Cover Letter