Clinical Finance Case Management Specialist

Ohio State University; Ohio; On-site; USD 54,000 - 70,000; Full time

Job summary

The Ohio State University Medical Center is seeking a Clinical Finance Case Management Specialist to coordinate access to medications for patients and work with PMAPs and subsidies. The role interfaces with clinicians and financial counselors to secure appropriate assistance and insurance eligibility information.

Candidates should have a bachelor’s degree or equivalent experience, with 0 years minimum required and 0–2 years preferred; 40-hour week, day shift, located at University Hospital -

Qualifications

• Bachelor's degree or equivalent experience.
• 0 years of relevant experience required.
• 0-2 years of relevant experience preferred.

Responsibilities

• Coordinate patient access to medications for inpatients and outpatients.
• Work with financial counselors and clinical staff to obtain PMAPs and subsidy enrollments.
• Provide patients and clinicians with up-to-date information on PMAPs and insurance eligibility.

Education

Bachelor's degree or equivalent experience

Job description

Clinical Finance Case Management Specialist# Careers## Clinical Finance Case Management SpecialistApply: University Hospital: Full time: Posted Today: R161415Screen reader users may encounter difficulty with this site. For assistance with applying, please contact [e-mail]. If you have questions while submitting an application, please review these frequently asked questions.**Current Employees and Students:**If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:* Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.* Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.## Job Title:Clinical Finance Case Management Specialist## Department:James | Pharmacy Administration**Scope of Position**The Ohio State University Medical Center is committed to improving access and service to customers. The Medication Assistance Program Coordinator (MAPC) functions as an integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect. This position coordinates patient access to medications necessary for their treatment, regardless of their ability to pay for both inpatients and outpatients of the Ohio State University Medical Center and Arthur G James Cancer Hospital. The MAPC works with the patient and prescriber to obtain free and discounted pharmaceuticals and grant awards for patients (uninsured, indigent, etc.) from pharmaceutical manufacturer patient assistance programs (PMAPs), non-profit disease based assistance and state and local agencies. **Position Summary**The MAPC is knowledgeable about PMAPs (pharmaceutical, state, local, etc), insurance coverage (limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits etc), available community and national resources, ICD-9 codes, and determinants of financial need. Displays an understanding of pharmaceutical terminology (brand, generic, dose, route, etc). Works closely with financial counselors and clinical staff to obtain appropriate clinical and financial information for accessing PMAPs, disease based assistance and subsidy enrollments. Responsible for providing customers (patients and clinicians) with accurate, up-to-date information regarding PMAPs disease based assistance, insurance eligibility including federal and state subsidies as well as maintaining a database with accurate patient and PMAP information. MINIMUM REQUIRED QUALIFICATIONS Bachelor's degree or equivalent experience. 0 years of relevant experience required. 0-2 years of relevant experience preferred.## Additional Information:## Location:University Hospital - Doan Hall (0089)## Position Type:Regular## Scheduled Hours:40## **Shift:**First Shift***Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.***