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Clinical Finance Case Management Specialist 1

Clinical Finance Case Management Specialist 1

CompanyOhio State University – Columbus
LocationColumbus, OH, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s, Associate’s
Experience LevelEntry Level/New Grad, Junior

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