Company Name: Kroger Specialty Pharmacy
Position Type: Employee
FLSA Status: Non-Exempt

Perform duties to support the Revenue Cycle Management team with the collection, retention, preparation, and processing of accounts receivable and payment documentation, 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

• Support completion and submission of medical paper claims to ensure timely and accurate collection of receivables
• Support completion and submission of Puerto Rico medical claims in certain jurisdictions to ensure timely and accurate collection of receivables
• Assign and/or scan electronic and hard copy documents, refunds, and adjustments to patient files in billing and collection system
• Prepare periodic invoices for manufacturer data and/or service fees and follow up to monitor invoices to ensure collection within expected period, flagging past due invoices for further action; assist with additional billing and invoicing as requested
• Gather documentation as requested, submit to management for review, and transmit documentation for payer audit; submit payer audit results as directed
• Collect, sort, scan and/or disburse correspondence to billing, collection, and/or reimbursement associates
• Scan and distribute payments received to corporate cash posting team; identify appropriate EOBs (Explanation of Benefits) and assign patient payments
• Assist in answering and directing incoming phone calls for the team
• Participate, as requested, in document retention support for reimbursement billing, audit tracking and documentation collection
• Work the daily manifestos and completes and maintains the customer payment spreadsheet in certain jurisdictions
• Prepare the daily bank deposit for customer payments in certain jurisdictions
• Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
• Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
• Perform other related duties as 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
• Any additional related training
• Demonstrated competency in Microsoft Office Suite, including Outlook, Word and Excel
• Effective active listening and comprehension skills
• Ability to effectively communicate clearly and concisely to convey information for ease of understanding
• Ability to prepare written communication that represents a positive business image

Desired Previous Experience/Education

• 1 year accounting experience

Education Level: High School Diploma/ GED Required
Required Certifications/Licenses: None
Position Type: Full-Time
Shift(s): [[mfield4]]
Regions: Any

States: Florida
Keywords: Reimbursement, Administrative, Health Care, Billing

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 || Auditing; Health & Wellness; Reimbursement; Specialty Pharmacy || Employee || Non-Exempt || Full-Time || None