Patient Access Coordinator - M-F, 9Am - 6Pm, Wfh After Training, Benefits Exp Preferred

Company Name: Kroger Specialty Pharmacy

Position Type: Employee

FLSA Status: Non-Exempt

Position Summary

Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, 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

• Perform other related duties as assigned
• 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 available level of service and quality
• Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records
• Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases
• Complete status check with insurance company regarding receipt/outcome of prior authorization and appeal; obtain approval information and activates copay cards based off of eligibility and specific drug prescribed
• Perform or assist with any operations, as required to maintain workflow and to meet business needs
• Complete a series of assessments mandated by either manufacturer contracts or operations and facilitates patient enrollment with manufacturer Hubs when required
• Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards
• Coordinate verbal transfer by a pharmacist if specialty pharmacy has no record of prescription (in some jurisdictions); confirm with patient that prescription was received from alternate specialty pharmacy
• Must be able to perform the essential job functions of this position with or without reasonable accommodation
• Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service
• Notify patients when their prescription has been transferred and follow up with specialty pharmacy to confirm the prescription was received (in some jurisdictions)

Minimum Position Qualifications

• Demonstrated ability to manage a range of priorities and meet time commitments
• Strong organization skills as well as attention to detail
• Demonstrated strength in listening, oral and written communications in English
• Excellent knowledge of insurance benefit investigation process and techniques
• Excellent data management software skills with demonstrated adaptability to internal systems
• 1 year of proven work experience in a healthcare or customer service industry
• Superior telephone customer service skills
• High School Diploma or GED

Desired Previous Experience/Education

• Any healthcare experience with a basic understanding of clinical terms and benefits investigation
• Any additional training in pharmacy/medical benefit access and requirements
• Pharmacy Technician Certification
• Any previous experience in a call center preferred where performance was measured

Education Level:High School Diploma/ GED Required

Required Certifications/Licenses:None

Position Type:Full-Time

Shift(s):[[mfield4]]

Regions : Any

States : Florida

Keywords : Healthcare insurance, benefits, pharmacy, patient access, copay card

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