Top 228 Document reviewer Jobs in Bethesda, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Technical Writer
Peraton —Washington, DC
- $86,000 - $138,000 a year
- Overtime
- 5 years
- Office
- High school diploma or GED
13d
Laboratory Site Reviewer - NIH (Part-Time)
Global Solutions Network Inc —Rockville, MD
- $36.06 - $67.27 an hour
- Part-time
- Microsoft Outlook
- Bachelor of Science
- Mid-level
- Travel reimbursement
- Profit sharing
Quick Apply
Credit Document Specialist
Burke & Herbert Bank & Trust —Bethesda, MD
- $30 - $40 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Protocol Navigator
Chenega Services & Federal Solutions —Bethesda, MD
- Full-time
- Computer literacy
- Bachelor of Science
- English
Telework US Government Grants Management Specialist / Grants Support Specialist
Arcetyp LLC —Bethesda, MD
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Analysis skills
Quick Apply
Utilization Review Coordinator
Psychiatric Institute of Washington —Washington, DC
- $33.60 - $50.40 an hour
- PRN
- Psychiatry
- Pass drug screening
- Adults
- Health insurance
- Dental insurance
SCIENTIFIC TECHNICAL WRITER
RJIT Solutions —Bethesda, MD
- $120,000 - $130,000 a year
- Full-time
- Mid-level
- Master's degree
- Mentoring
Quick Apply
2d
Grants Management Specialist
GAP SOLUTIONS INC —Bethesda, MD
- $80,000 - $92,000 a year
- Email
- Microsoft Word
- 5 years
- Writing skills
Quick Apply
Program Analyst
Koniag Government Services —Washington, DC
- $115,000 - $130,000 a year
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Engineering
- Paid holidays
- Health insurance
Application Reviewer
American Association of University Women —Washington, DC
- $25 an hour
- Temporary
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Health insurance
Quick Apply
1d
Clinical Reviewer DC
Comagine Health —Washington, DC
- $93,000 - $104,000 a year
- Full-time
- Hybrid work
- RN License
- Writing skills
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
PROGRAM ANALYST
US Naval Sea Systems Command —Washington Navy Yard, DC
- $102,415 - $158,322 a year
- Full-time
- Hybrid work
- Management
- Pass drug screening
- Mid-level
- Loan repayment program
6d
Romanian Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Turkish Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Farsi Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Indonesian Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Urdu Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Amharic Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel

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document reviewer jobs near bethesda, md

Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

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Job Details

$23.56 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Associate's degree
Medical terminology

Full Job Description

Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region’s premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

Pay Rate: $23.56 per hour plus $4.93 Health & Wellness Fringe

Role and Responsibilities:

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty referrals for Active-Duty Service Members and TRICARE Prime beneficiaries enrolled at Military Treatment Facilities (MTFs) within the National Capital Region.

This is an onsite opportunity

Qualifications / Skills / Experience:

Minimum of an Associate’s degree
At least 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral
U.S. Citizenship required, with the ability to obtain a Public Trust Clearance
Knowledge of medical care criteria such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs), or other evidence-based Military Health System (MHS) guidelines
Familiarity with medical terminology and ability to learn MHS, VA-DOD Sharing Program, TRICARE, HIPAA, and release of medical information protocols
Excellent communication and interpersonal skills
Strong customer service orientation
Understanding of Access to Care Standards within the Direct Care System
Attention to detail, including correct use of deferral codes
Strong organizational skills with ability to prioritize tasks and manage time effectively
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook) and internet navigation

Essential Tasks:

Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date
Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources
Ensure patients are scheduled with the right provider, at the right time and place
Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols
Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines
Manage telephone, written, and electronic communications regarding specialty appointments and referrals
Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing
Communicate referral status to patients, including benefit counseling and advocacy resources as needed
Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues
Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules
Verify patient eligibility and update demographics in MHS-GENESIS
Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate
Coordinate with product line nurses and clinics for special accommodations
Interface with MCSC and multidisciplinary teams to ensure referral appropriateness
Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews
Monitor referral management voicemail and return patient calls within established guidelines
Provide External Provider Referral Online (EPRO) information as requested
Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly
Orient and train new IRMAC staff on referral processes and timelines
Perform other duties as assigned

Zimmerman Associates, Inc. is an equal opportunity employer. We comply with Federal and State Equal Opportunity laws and consider qualified applicants without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status, or any other protected status.

#INDSPN

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Refine Your Search

document reviewer jobs in bethesda, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Technical Writer

Laboratory Site Reviewer - NIH (Part-Time)

Credit Document Specialist

Protocol Navigator

Telework US Government Grants Management Specialist / Grants Support Specialist

Utilization Review Coordinator

SCIENTIFIC TECHNICAL WRITER

Grants Management Specialist

Program Analyst

Application Reviewer

Clinical Reviewer DC

PROGRAM ANALYST

Romanian Reviewer/Editor/Certifier, DOJ LSS

Turkish Reviewer/Editor/Certifier, DOJ LSS

Farsi Reviewer/Editor/Certifier, DOJ LSS

Indonesian Reviewer/Editor/Certifier, DOJ LSS

Urdu Reviewer/Editor/Certifier, DOJ LSS

Amharic Reviewer/Editor/Certifier, DOJ LSS

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