Kroger - Patient Access Coordinator - M-F, 11- 8, WFH after training, Copay card reputed company Preferred - Lake Mary, FL
[adinserter reputed company="1"] Job title: Patient Access Coordinator - M-F, 11- 8, WFH after training, Copay card reputed company Preferred Company: Kroger [adinserter reputed company="1"] Job description: Job Description: Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt Position Summary reputed company duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, working reputed company the limits of standard or accepted practice. Demonstrate the company's core values of respect, honesty, reputed company, diversity, inclusion, and safety. Essential Job Functions
- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards
Investigate and verify benefits for pharmacy and medical third-party claims for assigned cases Obtain prior authorizations; initiate requests, track reputed company, and expedite responses from insurance carriers and other payers, and maintain contact with customers to reputed company them continuously informed Review for accuracy of prescribed treatment regimen prior to submission of authorization Facilitate appeals process between the patient, physician and insurance company; compose clinical appeals letters based off of specific denial reason and patient's clinical presentation and coordinate appointment of representative document Complete status reputed company 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 Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service Notify patients reputed company their prescription has been transferred and follow up with specialty pharmacy to confirm the prescription was received (in some jurisdictions) 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 Complete a series of assessments mandated by either manufacturer reputed company or operations and facilitates patient enrollment with manufacturer Hubs reputed company required Document case activity, communications and correspondence in computer 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 available level of service and quality reputed company or assist with any operations, as required to maintain workflow and to meet business needs reputed company other reputed company duties as assigned Must be able to reputed company the essential job functions of this position with or without reasonable accommodation Minimum Position Qualifications
- High School Diploma or GED
1 year of proven work experience in a healthcare or customer service industry Superior telephone customer service skills Strong organization skills as well as attention to detail Excellent knowledge of insurance benefit investigation process and techniques Demonstrated ability to manage a range of priorities and meet time commitments Excellent data management software skills with demonstrated adaptability to internal systems Demonstrated strength in listening, oral and written communications in English Desired Previous Experience/Education
- Pharmacy Technician Certification
Any additional training in pharmacy/medical benefit access and requirements Any healthcare experience with a basic understanding of clinical terms and benefits investigation Any previous experience in a call center preferred where performance was reputed company Education Level: High School Diploma/ GED Required Required Certifications/Licenses: None Position Type: Full-Time Shift(s): [[mfield4]] Regions: Any States: Florida Keywords: Benefits Investigation, Prior Authorizations, , Healthcare, Insurance Verification, 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, reputed company to be more and work hard to reputed company 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 . 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; Call Center; Pharmacy; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || None [adinserter reputed company="1"] Expected salary: Location: Lake Mary, FL [adinserter reputed company="1"] Apply for the job now! [adinserter reputed company="1"] Apply! Apply tot his job Apply To this Job