Clinical Finance Specialist

hace 2 semanas


Mayagüez, Mayagüez, Puerto Rico Ohio State University Wexner Medical Center A tiempo completo

Job Summary:
Ohio State University Wexner Medical Center is seeking a highly skilled Clinical Finance Case Management Specialist 2 to join our team. As a key member of our finance department, you will play a crucial role in ensuring the coordination of insurance verification and prior authorization process for outpatient medications.

Responsibilities:
• Collaborate with physicians, physician offices, and payers to obtain necessary information for prior authorizations
• Utilize the electronic medical record system to obtain pertinent medical information for prior authorization process
• Evaluate complex issues and understand escalation procedures
• Provide excellent customer service and communicate regularly with patients, families, and healthcare providers
• Maintain accurate and up-to-date records
• Stay current with departmental computer software and attend in-services, educational forums, and meetings as required

Requirements:
• Bachelor's degree and experience in a healthcare setting or physician's practice required
• Registered Nurse preferred
• Experience in interpreting insurance benefit information and completing prior authorization process preferred
• Knowledge of medical terminology preferred
• Excellent interpersonal and communication skills
• Ability to work effectively in a team environment
• Highly organized, detail-oriented, and able to manage multiple projects at a time

What We Offer:
• Competitive salary and benefits package
• Opportunities for professional growth and development
• Collaborative and dynamic work environment
• Recognition and rewards for outstanding performance



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