Texas Licensed Physician Reviewer - Orthopedic Surgery
Blank StreetSalary not specified
Full Time
Junior (1 to 2 years)
Patient Services Representative - Phones-PRN Orthopedics at Abarca Health
Sioux Falls, South Dakota, United States
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Part TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- High School diploma or GED equivalent, or 1-3 months related experience and/or training, or equivalent combination of education and experience
- Visual acuity adequate to perform position duties
- Ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds
- Ability to work Monday - Friday, 8:00 AM - 5:00 PM, PRN (as needed)
- Commitment to Avera’s mission, vision, core values, and social principles
- Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE)
- Maintain confidentiality
- Work effectively in a team environment
- Comply with safety principles, laws, regulations, and standards (e.g., CMS, The Joint Commission, DHHS, OSHA)
Responsibilities
- Welcome patients, check them in, and complete registration, including verifying demographics, insurance, and collecting service payments
- Perform insurance verifications, authorizations, and obtain consent and waiver forms as appropriate
- Scan all pertinent information into the patient’s record
- Answer and address calls, messages, and/or faxes, routing them to appropriate individuals/departments if needed
- Maintain computer appointment scheduling and follow office scheduling policies/parameters
- Expedite delivery of care by coordinating nurse, physician, and patient time
- Act as public relations agent for physicians by serving patients in a friendly, efficient manner
- Direct patients to ancillary services as needed
- Promote Avera’s values of compassion, hospitality, and stewardship
Skills
Patient Registration
Insurance Verification
Appointment Scheduling
Customer Service
Document Scanning
Phone Support
Data Entry
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