Release Of Information Specialist at Abarca Health

Aberdeen, South Dakota, United States

Abarca Health Logo
Not SpecifiedCompensation
Entry Level & New Grad, Junior (1 to 2 years)Experience 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
  • 1-3 years preferred previous health information management or other healthcare department experience
  • Commitment to Avera’s mission, vision, core values, and social principles
  • Uphold standards of Communication, Attitude, Responsiveness, and Engagement (CARE)
  • Maintain confidentiality
  • Work effectively in a team environment, coordinating workflow with team members
  • Comply with safety principles, laws, regulations, and standards (e.g., CMS, The Joint Commission, DHHS, OSHA)
  • Adhere to all legal and ethical standards surrounding health information, including HIPAA and other applicable state and federal laws
  • Strong customer service mentality and ability to problem solve and interact with various internal and external stakeholders

Responsibilities

  • Prepare ROI requests, including processing mail, verifying completeness and validity of requests, identifying records to release, and tracking requests via a computerized database
  • Fulfill requests by recording ROI authorization, obtaining records from different types of storage, copying records to appropriate media, calculating fees for copies, managing unpaid charges, and reporting sales tax
  • 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
  • Interact with patients, physicians, insurance companies, attorneys, court-related agencies, hospital departments, external record reviewers, and other stakeholders and customers
  • Effectively manage patient requests regarding medical records by maintaining relevant productivity and quality standards
  • Handle various types of media and utilize HIM systems to disseminate health records
  • Promote Avera’s values of compassion, hospitality, and stewardship

Skills

HIPAA
HIM systems
ROI processing
Customer Service
Health Records Management
Database Tracking
Record Retrieval
Problem Solving

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.

Land your dream remote job 3x faster with AI