Clinical Financial Case Mgr

Ohio State University Physicians Inc

Columbus, Ohio, US
Onsite
Prior authorization process
Electronic medical record system
Verifying patient benefits
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.
  • The PAC’s responsibilities include understanding and verifying benefits, obtaining prior authorization for outpatient medications, and collecting and interpreting patient clinical information.
  • PACs must be able to navigate the electronic medical record system to obtain and interpret pertinent medical information for the prior authorization process.

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
  • Electronic medical record system
  • Verifying patient benefits
  • Communicating with stakeholders
  • Interpreting medical information

Nice-to-have

  • Understanding disease implications
  • Knowledge of treatment modalities
  • Problem-solving skills

Key Requirements

  • Active OH Board of Pharmacy Certified Pharmacy Technician
  • Associate or bachelor’s degree preferred
  • 3 years’ pharmacy experience preferred
  • Knowledge of Medicare and commercial insurance reimbursement
  • General knowledge of ICD-10 codes
  • Proficient in computer-based research
  • Ability to satisfy onsite work expectations

Work Rights

Not specified

Tailored Resume

Cover Letter