The Ohio State University Wexner Medical Center is committed to improving access and service to customers. The Prior Authorization Coordinator (PAC) functions as an integral member of the health care team to reflect a culture of cooperation, enthusiasm and mutual respect. This position ensures the coordination of the insurance verification and prior authorization process for outpatient medications. This process includes, but is not limited to, assisting in defining pharmacy co-pay information, benefit design, and coverage. This information is important to both patient and physician planning as well as ensures the appropriate information is available and used for successful billing.
The PACs responsibilities include understanding and verifying benefits, obtaining prior authorization for outpatient medications, collecting and interpreting patient clinical information. In addition, the PAC may be required during the authorization process to contact patients/families in order to gather information while also informing patients of medication co-pays or co-insurances. Communication will also be necessary with physicians, payers, and other customer groups. PACs must be able to navigate the electronic medical record system to obtain and interpret pertinent medical information for the prior authorization process, including the determination of whether a medication is being used within or outside FDA labeling, relevant lab results, genetic testing and pathology. PACs will solve routine customer problems.
The Ohio State University is a dynamic community of diverse resources, where opportunity thrives and where individuals transform themselves and the world. Founded in 1870, Ohio State is a world-class public research university and the leading comprehensive teaching and research institution in the state of Ohio. With more than 63,000 students (including 57,000 in Columbus), the Wexner Medical Center, 14 colleges, 80 centers and 175 majors, the university offers its students tremendous breadth and depth of opportunity in the liberal arts, the sciences and the professions.