Clinical Financial Case Mgr

Alumni Network Job Board(1 month ago)

OnsiteFull TimeSenior$102,299 - $139,565 (estimated)Pharmacy Administration

About this role

This role supports the oncology revenue cycle by clinically interpreting accounts that need reimbursement analysis and payer follow-up. The position focuses on securing precertification and resolving rejected or denied claims while coordinating with internal stakeholders and payers. It also contributes to education and process improvement to help prevent lost revenue.

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Required Skills

Claims Denials
Precertification
Revenue Cycle
Reimbursement
Oncology
ICD-10 Coding
CPT Coding
HCPCS Coding
Utilization Review
Clinical Documentation

+6 more

Qualifications

Associate Degree in Nursing
Bachelor Degree in Nursing

About Alumni Network Job Board

osu.edu

The Ohio State University is a large, mission-driven land‑grant public research university headquartered in Columbus, Ohio, with multiple regional campuses across the state. It offers comprehensive undergraduate, graduate and professional programs and is home to the Wexner Medical Center, nationally recognized research institutes, and extensive extension and outreach services. Ohio State is known for high research activity and significant external funding, partnering with industry and communities to drive innovation and economic development. The university also has a prominent athletic tradition (the Buckeyes) and serves a diverse student body through teaching, research, and public service.

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