Clinical Finance Case Management Specialist 1

Clinical Finance Case Management Specialist 1

Requirements

• Active OH Board of Pharmacy Certified Pharmacy Technician required
• Associate or Bachelor degree is preferred
• Experience in finance, insurance, insurance appeals, medication and medical terminology desired
• Minimum of 1 year pharmacy experience preferred
• Ability to work in self-directed manner while interacting with patients, prescribers and all medical center faculty and staff while proactively preparing for medication needs
• Ability to communicate clearly with health care team
• Strong demonstrated communication skills
• Experience with Windows, Excel, Access, PowerPoint, and intranet/internet navigation tools as well as system content
• Must be highly organized, detail oriented, and able to manage multiple projects at a time

Responsibilities

• Coordinate patient access to medications necessary for their treatment
• Work with the patient and prescriber to obtain free and discounted pharmaceuticals and grant awards for patients
• Provide all customers (patients and clinicians) with accurate and up-to-date information
• Work closely with financial counselors and clinical staff to assist patients who otherwise cannot afford medication to gain access to therapy
• Maintain knowledge related to product/service line, disease specific treatment and medications, quality improvement, cost reduction for medications, scheduling, registration, precertification, non-profit disease-based assistance, financial counseling and insurance policies and procedures, insurance benefits and available state and federal prescription subsidy information
• Meet mandatory educational and health requirements as well as ongoing department competencies

Preferred Qualifications

• Familiarity with OSUMC and its entities preferred
• Experience in pharmacy preferred