What are the responsibilities and job description for the Clinical Finance Case Management Specialist 1-IRP position at Ohio State University Wexner Medical Center?
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-10 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 Qualifications
Bachelor's degree or equivalent experience. 0 years of relevant experience required. 0-2 years of relevant experience preferred.
