Abarca Health

Revenue Cycle Coordinator

Freeman, South Dakota, United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

High school graduate or GED is required, with 2 years of related experience preferred. Experience working with multiple IT systems is also preferred. The individual must be at least 18 years old and possess adequate visual acuity and the ability to communicate effectively, hear, understand, and distinguish speech and other sounds.

Responsibilities

The Revenue Cycle Coordinator is responsible for managing denials, credit balance resolution, and accounts receivable follow-up. They will coordinate with the Staff Accountant to ensure quality account services and support the execution of collection and accounts receivable processes. This role involves assisting with accounts receivable, denials, and credit balances, triaging issues to the Staff Accountant when necessary, and supporting the development of departmental goals. The coordinator will also assist with the analysis and maintenance of legally required records, support operations by assisting with escalated customer issues and answering billing inquiries, and verify billing accuracy. Additionally, they will review and initiate appeal information, help accelerate cash flow, and participate in continuing education programs related to revenue cycle and healthcare finance.

Skills

Revenue Cycle Management
Accounts Receivable
Denial Management
Credit Balance Resolution
Billing Accuracy
Cash Flow Acceleration
Healthcare Finance
Customer Service
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.

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