Clinical Financial Case Mgr

The Ohio State University

Columbus, OH, USA
Onsite
Prior authorization submissions
Understanding of disease implications
Communication with physicians and payers
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 along with gathering all clinical and supporting evidence.
  • 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 submissions
  • Understanding of disease implications
  • Communication with physicians and payers

Nice-to-have

  • Strong analytical skills
  • Team collaboration
  • Patient-focused approach

Key Requirements

  • Active OH Board of Pharmacy Certified Pharmacy Technician
  • Minimum of 3 years’ pharmacy experience
  • Knowledge of Medicare and commercial insurance reimbursement

Work Rights

Not specified

Tailored Resume

Cover Letter