Patient Access Representative at Abarca Health

Sioux Center, Iowa, United States

Abarca Health Logo
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • High school diploma or general education degree (GED); or one or more years of related experience and/or training; or equivalent combination of education and experience preferred
  • Bi-lingual experience preferred but not required

Responsibilities

  • Greeting incoming patients and visitors
  • Performing all patient registration duties including entering pertinent patient information
  • Explaining various registration forms
  • Verifying insurance eligibility
  • Collecting payment for services
  • Providing excellent care and service to patients, guests, and fellow employees at all times
  • Answering incoming calls, screening as necessary, and transferring as requested
  • Greeting and directing employees, visitors, patients, business representatives, and the general public arriving at the facility
  • Providing general information regarding the facility and department functions and procedures
  • Communicating with team members throughout various areas within the facility using telephone, mobile communication, computer, and other office-related equipment
  • Operating overhead page system
  • Processing computer admissions and patient transfers within the facility
  • Interviewing patients or relatives regarding personal and insurance information
  • Instructing patients and relatives on related policies and procedures
  • Recording and typing patient and insurance information and obtaining appropriate signatures
  • Ensuring all necessary consents and HIPAA forms are signed and completed
  • Maintaining strict confidentiality of patient information
  • Preparing appropriate paperwork for next day’s patient schedules, including pre-registration, insurance eligibility checks, gathering of appropriate forms for privacy, consent and signature, and reminder phone calls
  • Processing documents of straightforward nature requiring somewhat expanded knowledge of procedures; checking documents for accuracy and completeness of specific entries
  • Maintaining files and records of documents processed for ready access
  • Recording data onto documents according to standard procedures related to work performed
  • Notifying nursing staff of patient arrival and routing patient to waiting or testing areas

Skills

Key technologies and capabilities for this role

Patient RegistrationInsurance VerificationPatient GreetingPayment CollectionCustomer Service

Questions & Answers

Common questions about this position

Is this a remote position or does it require on-site work?

This is an on-site position located in Sioux Center, IA, with a rotating shift including days, evenings, nights, weekends, and holidays.

What are the education and experience requirements for this role?

A high school diploma or GED is required, along with one or more years of related experience and/or training or equivalent combination preferred; bi-lingual experience is also preferred but not required.

What is the company culture like at Sioux Center Health?

Sioux Center Health nurtures an exceptional culture driven by a strong mission of faith and healing, great people, and a caring Christian environment where talents and passions are appreciated.

What are the typical working hours for this position?

The general hours are as determined, including day, evening, night, and rotating weekends.

What skills or experience make a strong candidate for this role?

Candidates with a high school diploma or GED, related experience in patient registration or customer service, bi-lingual skills, and the ability to provide excellent care while handling registration, insurance verification, and payments will stand out.

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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