Clinical Financial Case Mgr

The Ohio State University

Columbus, OH, US
Onsite
Active oh board of pharmacy certified pharmacy technician
Experience with windows excel access tools
Knowledge of medicare commercial insurance 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 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

  • Active OH Board of Pharmacy Certified Pharmacy Technician
  • Experience with Windows Excel Access tools
  • Knowledge of Medicare commercial insurance reimbursement

Nice-to-have

  • Strong understanding of disease implications and treatment modalities
  • Ability to navigate electronic medical record systems
  • Excellent verbal and written communication skills

Key Requirements

  • Active OH Board of Pharmacy Certified Pharmacy Technician required
  • Minimum of 3 years' pharmacy experience preferred
  • Associate or bachelor's degree is preferred

Work Rights

Not specified

Tailored Resume

Cover Letter