Garden Grove, California

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 Travel: None
    Required Certifications/Licenses: Pharmacy Board License
    Position Type: Full-Time
    Regions: Any

    States: California
    Keywords: pharmacy technician, pharm tech

    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: CA || Garden Grove || 7373 Lincoln Way || 92841 || Kroger Specialty Pharmacy || None || Call Center; Specialty Infusion; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || Pharmacy Board License

    Garden Grove, California

    From one tiny Cincinnati grocery store more than a century ago, we’ve grown into what today is the nation’s largest grocer with nearly 2,800 stores in 35 states operating under 28 different names. As America’s grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.


    At the Kroger Family of Companies, we’re all about people. We provide satisfying, sustainable careers—with boundless opportunities—to nearly 450,000 associates across the nation.


    We strive to provide the ingredients you need to create your own recipe for success at work and in life. We help to feed your future by focusing on providing the value and support you need to grow.


    We believe in an associate-first culture, built on collaborative, diverse communities that thrive together. We genuinely care about each other, giving back and helping out. We also know that none of us can succeed on our own. Stress happens. Life happens. That’s why we provide the tools and support you need to live our values and find your way.


    No matter where you start your journey, fresh opportunities abound with the Kroger Family of Companies. The scope and size of our organization means we cater to nearly any career aspiration or skill set.


    Beyond comprehensive benefits and competitive wages, we provide meaningful opportunities for associates to expand their horizons and grow their careers. From internal and external training and education programs to on-the-job training and personalized development opportunities, we help our associates reach their full potential.

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