Job Description

Job Description

Company Name: Kroger Specialty Pharmacy
Position Type: Employee
FLSA Status: Non-Exempt
Position Summary
Perform duties to review, translate, and enter prescription data into systems in preparation for benefit investigation, prior authorization support, and pharmacist verification working within the limits of standard or accepted practice. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety.

Essential Job Functions

* Review all elements of therapy prescriptions for accuracy, including, but not limited to appropriate signature, date, directions for use, quantity, and refills available
* Perform assignments related to processing incoming prescriptions in full compliance and complete understanding of the state and federal laws and internal policies and procedures governing the handling, dispensing and distribution of all prescriptions
* Translate and enter prescription data elements required to complete all patient access functions and ultimate dispensing into appropriate systems
* Transfer prescription orders to alternate pharmacy based on patient or prescriber request or insurance mandate
* Respond to inbound Pharmacy calls and triage to appropriate clinician or department if required
* Demonstrate excellent customer service while communicating with patients, prescribers' offices, and associates with a focus on building and maintaining enduring business relationships to the benefit of the organization and its customers
* Initiate communication with all new patients informing them of prescription referral and welcoming them to KSP
* Obtain and process new prescriptions, clarifications and refill authorizations from providers' offices; obtain patient's medication drug list for DUR investigation
* Review and adjudicate prescription insurance claims of medications to be delivered to patients and providers
* Contact patient, providers' office, and insurance companies to ensure appropriate processing of claims
* Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
* Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
* Perform other related duties as assigned
* Must be able to perform the essential job functions of this position with or without reasonable accommodation

Minimum Position Qualifications

* High School Diploma or GED
* Pharmacy Technician Certification
* Demonstrated excellence in listening, speaking, and writing skills, with proven ability to communicate clearly and effectively at all levels of the organization
* Proven skills in customer service and customer relationship building skills
* Demonstrated organizational skills and the ability to problem solve and multitask between data entry and telephonic communication
* Consistent focus and attention to detail resulting in superior accuracy
* Proficiency with pharmacy applications and computer operations with knowledge of MS Office software including Word and Excel
* Clear understanding of healthcare privacy protocols including HIPAA

Desired Previous Experience/Education

* 1 year of healthcare/pharmacy customer service experience with knowledge of benefits access and prescription processing
* Demonstrated knowledge of medications utilized for therapy in the defined disease state served by the assigned pharmacy

Education Level: High School Diploma/ GED Required
Required Certifications/Licenses: Pharmacy Technician Certification
Position Type: Full-Time
Shift(s): [[mfield4]]
Regions: Any

States: Louisiana
Keywords: pharmacy technician, intake, data entry, pharmacy, call center, phone, remote

Jobs at Kroger: At Kroger, we hire people who have a passion for helping others and who want to build a relationship with our Customers. No matter what stage of your career, you can build your future at Kroger. We look for people who want more, aspire to be more and work hard to achieve their goals. Our focus on keeping the Customer first is what makes us successful. We offer many opportunities not only in our stores, but in Manufacturing, Logistics, Marketing, Finance, Human Resources, and many other fields.
Company Overview: Kroger Family of Companies employs nearly half a million associates who serve over 11 million customers daily through a seamless shopping experience under a variety of banner names. At The Kroger Co., we are Fresh for Everyone and dedicated to our Purpose: To Feed the Human Spirit. We are committed to creating ZeroHungerZeroWaste communities by 2025. Careers with The Kroger Co. and our family of companies offer competitive wages, flexible schedules, benefits and room for advancement.

Posting Notes: LA || Harvey || 2731 Manhatten Blvd B17 || 70058 || Kroger Specialty Pharmacy || None || Call Center; Specialty Infusion; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || Pharmacy Technician Certification