Health Information Specialist at Abarca Health

Sioux Falls, South Dakota, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Visual acuity adequate to perform position duties
Ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds
Ability to work specified hours: Monday - Friday 12:30p-9p and every 4th Saturday 9a-5:30p with varying days off
1-3 years previous health information management experience (preferred)
Adherence to all legal and ethical standards surrounding health information, including HIPAA and other applicable state and federal laws
Commitment to daily application of Avera’s mission, vision, and standards

Responsibilities

Retrieve records and documentation from departments throughout the facility and reconcile to ensure receipt of appropriate documentation for an accurate medical record
Process records to prepare documentation for scanning or uploading, including assembly, paper clean-up, and removing unnecessary documents
Scan and upload patient records using appropriate software and hardware, verify images for clarity and usability, and accurately assign patient and form identification via bar-coded images or manual data entry into the electronic health record
Greet and assist patients, staff, and others at the HIM customer service area; answer, route, and manage phone calls and voicemails in response to customer requests; serve as a health information technical liaison
Analyze electronic health records for quality, completion, and deficiencies in conjunction with regulatory and internal requirements; tabulate deficiencies and communicate to department or physician staff to resolve issues
Abstract clinical, financial, and demographic data items into the electronic health record and monitor electronic records to completion
Assist with patient identity edits, merges, and overlays within the electronic health record system to ensure record integrity
Prepare birth certificate documents, meet with parents for clarification of items, enter data into the electronic state registry, and notarize paternity affidavits in accordance with state vital record requirements
Maintain relevant productivity and quality standards for the position
Monitor chart content and data quality, identify errors/omissions, handle internal and external customer requests for information, and communicate appropriately with departments, customers, and physicians

Skills

Medical Records

Document Scanning

Electronic Health Record

Data Entry

Patient Record Processing

Chart Review

Customer Service

Record Reconciliation

Image Verification

Bar-coding

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.

Growing focus on specialty drugs may require platform adaptation.

Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.

The company offers innovative programs like Triple S en Casa for home delivery.

Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.

Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.

Recognition as a top IT workplace attracts top talent, driving innovation.

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