Company Name: Kroger Specialty Pharmacy
Position Type: Employee
FLSA Status: Non-Exempt

Perform duties to review, translate, and enter prescription data into systems 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 prescriptions for accuracy, including, but not limited to appropriate signature, date, directions, quantity, and refills
• Perform tasks to process prescriptions in compliance and understanding of the state and federal laws and internal policies and procedures governing the handling, dispensing and distribution of prescriptions
• Translate and enter prescription data elements required to complete all patient access functions and dispensing
• Transfer or coordinate verbal transfer by a pharmacist of prescription to alternate pharmacy if required
• Respond to inbound calls and triage to appropriate clinician/department if required
• Demonstrate excellent customer service while communicating with patients, prescribers' offices, and associates to build business relationships
• Initiate communication with new patients informing them of prescription 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
• Contact patient, providers' office, and insurance companies for appropriate processing of claims
• Investigate and verify benefits for pharmacy and medical third-party claims
• Complete assessments mandated by either manufacturer contracts, operations and facilitates patient enrollment with manufacturer Hubs when required
• Documents case activity, communications, and correspondence in system to ensure completeness and accuracy of patient contact records
• Ensure that work activities are conducted in compliance with regulatory requirements and the organization's defined standards and procedures, and in a manner that provides the best level of service and quality
• Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
• Participate in meetings to communicate issues, obtain approvals, resolve problems and maintain knowledge of new developments, requirements, and policies
• Perform other related duties 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 Registration or Credentials
• 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: Florida
Keywords: Pharmacy Technician, Healthcare, Work From Home

The Little Clinic Jobs: At The Little Clinic our locations are staffed by board-certified nurse practitioners or physician assistants and patient care technicians to provide high-quality, convenient healthcare at an affordable price. The primary focus of our healthcare team is to promote health and wellness through appropriate diagnosis, treatment and patient education. The Little Clinic nurse practitioners and physician assistants are fully qualified to diagnose and treat common illnesses and minor injuries, prescribe medications, conduct tests, interpret lab results, provide wellness and preventive care, perform physical examinations and health screenings and administer vaccinations and injections. We’re growing and actively looking for qualified applicants to help us continue to provide high-quality healthcare and stellar service to our patients.

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: FL || Lake Mary || 3200 Lake Emma Drive || 32746 || Kroger Specialty Pharmacy || None || Health & Wellness; Patient Care; Pharmacy; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || Pharmacy Technician Certification