Clinical Financial Case Management Specialist 4
The Ohio State UniversityAbout the role
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Job Title:
Clinical Financial Case Management Specialist 4Department:
James | Pharmacy AdministrationScope of Position
The Medication Access Lead position is responsible for providing efficient and efficacious care to members of and patients served by the James Medication Access team. Serving as a point of contact for the medication access team and clinical staff, including completing prior authorizations, coordination of all medication access needs, and effectively communicating within the medication access teams, clinic team and patient. This position requires clinical understanding and an expert level of payor requirement knowledge, and the ability to use and work with high proficiency in the Integrated Health Information Systems (IHIS). In addition, this position provides communication and collaboration with other departments such as Financial Counseling, MIM, PCRMs, physicians and other providers. The individual must act as a subject matter expert for the medication access team, recognizing trends and recommending process improvements to enhance workflow efficiency, while fostering collaboration and coordination with prior authorization and medication assistance teams to ensure patients have access to the medications they need.
Position Summary
This position is responsible for all work related to Clinical Finance Case Managers I-III and escalation of issues to the
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