Clinical Financial Case Mgr

The Ohio State University

Columbus, OH, USA
Onsite
Prior authorization experience
Strong communication skills
Pharmacy experience
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 must be able to navigate the electronic medical record system to obtain and interpret pertinent medical 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 experience
  • Strong communication skills
  • Pharmacy experience

Nice-to-have

  • Understanding of disease implications
  • Ability to navigate electronic medical records

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