Specialty Admissions & Medical Clinic Referral at Abarca Health

Sioux Center, Iowa, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Part 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
Certificate, Licenses, Registrations: N/A

Responsibilities

Greeting incoming outpatient services patients and visitors
Performing outpatient registration duties including entering pertinent patient information
Explaining various registration forms
Verifying insurance eligibility for services
Providing excellent care and service to patients, guests, and fellow employees at all times
Processing referrals made by providers by scheduling appointments with the patient present following their clinic appointment or by gathering information from the patient and following up in a timely manner
Scheduling orders for radiology tests, physical therapy, and specialty clinics
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 and insurance eligibility

Skills

Patient Registration

Insurance Verification

Customer Service

Data Entry

Outpatient Services

Patient Greeting

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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