Clinical Financial Case Mgr

Ohio State University

Columbus, OH, USA
Onsite
Prior authorization process
Communication with clinical team
Understanding of medicare reimbursement
The PAC is responsible for follow-up on all prior authorization submissions and communication to the clinical team regarding the status of the prior authorization

Job Summary

  • The PAC is responsible for follow-up on all prior authorization submissions and communication to the clinical team regarding the status of the prior authorization.
  • They are also responsible for identifying trends in denials and providing education to clinical staff to reduce these denials.
  • The PAC’s responsibilities include understanding and verifying benefits, obtaining prior authorization for outpatient medications, and collecting and interpreting patient clinical information.

Matching Summary

The PAC is responsible for follow-up on all prior authorization submissions and communication to the clinical team regarding the status of the prior authorization.

Skills & Requirements

Must-have

  • Prior authorization process
  • Communication with clinical team
  • Understanding of Medicare reimbursement

Nice-to-have

  • Strong understanding of disease implications
  • Ability to navigate electronic medical records
  • Excellent verbal and written communication skills

Key Requirements

  • Active OH Board of Pharmacy Certified Pharmacy Technician
  • Minimum of 3 years’ pharmacy experience
  • Knowledge of ICD-10 codes

Work Rights

Not specified

Tailored Resume

Cover Letter