Kroger – Patient Access Coordinator- Prior Authorizations Experience Required- M-F -WFH – Lake Mary, FL

Job title: Patient Access Coordinator- Prior Authorizations Experience Required- M-F -WFHCompany: KrogerJob description: Job Description:Company Name: Kroger Specialty PharmacyPosition Type: EmployeeFLSA Status: Non-ExemptPosition SummaryPerform 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 accommodationMinimum 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 EnglishDesired 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 measuredEducation Level: High School Diploma/ GED RequiredRequired Certifications/Licenses: NonePosition Type: Full-TimeShift(s): [[mfield4]]Regions: AnyStates: FloridaKeywords: Patient Access Coordinator, Prior Authorizations, Work From HomeThe 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, reputed company 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

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