Pharmacy Technician - Intake

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 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: Louisiana
Keywords: Callcenter, healthcare, patientcare
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; Health & Wellness; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || Pharmacy Technician Certification