Kroger · 13 hours ago
Pharmacy Claims Audit Specialist, CPhT
2700 E 4Th Ave, Hutchinson, KS, 67501, US
Full-time
Onsite
New Grad, Entry LevelKroger is a leading corporate entity in the retail industry, and they are seeking a Pharmacy Claims Audit Specialist to manage and resolve processor claims audits. The role involves tracking audits, maintaining records, and ensuring compliance with audit notices while communicating effectively with various stakeholders.
GroceryMarketingMeat and PoultryRetailRetail Technology
Responsibilities
Research and track third-party processor audits for assigned divisions/processors
Maintain all incoming notices, original audit balances, final results, and ending recoupment activity for assigned audits
Enter all audit information into the pharmacy accounting system for reporting and tracking
Ensure audit deadlines are met and stores comply with audit notices; dispute any necessary items as required
Research/respond to agency/store/division inquiries or questions regarding third-party processor audits
Coordinate rebilling work with the aging team as needed
Provide timely accurate communication of information and accounting to the divisions regarding audit loss
Must be able to perform the essential job functions of this position with or without reasonable accommodation
Qualification
Required
Nationally Certified Pharmacy Technician
Self-starter with ability to perform job responsibilities minimal supervision
Physical ability to access all necessary files
Must be highly organized and detail oriented and able to function effectively in a multi-task environment
Ability to work within strict deadlines
Must be able to use discretion and maintain confidential information
Ability to work well with others
Strong analytical skills
Good written and oral communication and customer service skills
Working knowledge of Microsoft Office, including Excel
Preferred
Basic insurance knowledge and Medicare/Medicaid knowledge
Knowledge of third-party operations and accounts receivable
Knowledge of Pharmacy store systems (EasyFill PRN)
Company
Kroger
Kroger is a grocery retail store that provides a wide variety of product for customers and community.
Founded in 1883
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1984-09-28IPO
Leadership Team
Ronald Sargent
Interim Chief Executive Officer
Recent News
2026-01-16
2026-01-12
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2026-01-11
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