Clinical Finance Case Management Specialist

The Ohio State University

12d • Onsite

About The Position

The Medication Assistance Program Coordinator (MAPC) is an integral member of the health care team and supports a culture of cooperation, enthusiasm, and mutual respect. The position coordinates access to medications needed for treatment for inpatients and outpatients of The Ohio State University Medical Center and Arthur G. James Cancer Hospital, regardless of ability to pay. The MAPC works with patients and prescribers to obtain free or discounted pharmaceuticals and grant awards through pharmaceutical manufacturer patient assistance programs, nonprofit disease-based assistance, and state and local agencies.

The MAPC provides current information about patient assistance programs, disease-based assistance, insurance eligibility, federal and state subsidies, and available resources. The role works closely with financial counselors and clinical staff to obtain clinical and financial information needed for assistance and subsidy enrollments, and maintains accurate patient and program information in a database.

Requirements

• Bachelor's degree or equivalent experience.
• Knowledge of pharmaceutical manufacturer, state, and local patient assistance programs.
• Knowledge of insurance coverage, including limitations, requirements, eligibility, pharmacy formularies, prior authorization, and coordination of benefits.
• Knowledge of community and national resources, ICD-9 codes, and determinants of financial need.
• Understanding of pharmaceutical terminology, including brand, generic, dose, and route.

Nice To Haves

• 0–2 years of relevant experience preferred.

Responsibilities

• Coordinate patient access to medications for inpatients and outpatients, regardless of ability to pay.
• Work with patients and prescribers to obtain free or discounted pharmaceuticals and grant awards through pharmaceutical manufacturer patient assistance programs, nonprofit disease-based assistance, and state and local agencies.
• Work with financial counselors and clinical staff to obtain clinical and financial information for patient assistance and subsidy enrollments.
• Provide patients and clinicians with accurate, up-to-date information about patient assistance programs, disease-based assistance, insurance eligibility, and federal and state subsidies.
• Maintain a database with accurate patient and patient assistance program information.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level