Top 779 Patient services representative Jobs in Bethesda Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Dental Front Office
Confidential —Bowie, MD
- $18 - $23 an hour
- Full-time
- Spanish
- Dental office
- Mid-level
- Health insurance
- Paid time off
Quick Apply
10d
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Dental Front Desk – Part-Time
Confidential —Falls Church, VA
- From $23 an hour
- Part-time
- Bilingual
- Background check
- Dental office
- Dental insurance
Quick Apply
Front Desk Receptionist
Integrated Neurology Services, PLLC —Falls Church, VA
- $19 - $22 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Remote Central Intake Coordinator
Emmett Healthcare —Washington, DC
- $80,168.39 - $90,000.00 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Case management
Quick Apply
9d
Receptionist
Washington DC Dental Practice —Washington, DC
- $22.00 - $30.63 an hour
- Full-time
- Dental office
- In-person
- Entry level
- Health insurance
- 401(k)
Quick Apply
10d
Patient Service Representative
Community Radiology Associates —Bethesda, MD
- $18 - $24 an hour
- Part-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
12d
Unit Clerk
Montcare Bethesda —Bethesda, MD
- Full-time
- Entry level
Quick Apply
2d
Access Call Center Representative
Children's National Hospital —Silver Spring, MD
- $18.54 - $30.89 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- Commuter assistance
- AD&D insurance
Radiology Patient Service Representative 12pm-8:30pm
The Radiology Clinic —Rockville, MD
- $22 - $23 an hour
- 8 hour shift
- Background check
- Spanish
- Mid-level
- COVID-19 protective measures
- Health savings account
Quick Apply
3d
Medical Scheduler
APT Healthcare —Gaithersburg, MD
- From $21 an hour
- Full-time
- Background check
- Spanish
- High school
- Paid holidays
- Health insurance
Quick Apply
10d
Patient Service Representative-Vision
Prism Vision Group —Bethesda, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
4d
Call Center Operator - All Shifts
AFCO LLC —Bethesda, MD
- $23 an hour
- Night shift
- Writing skills
- Administrative experience
- High school diploma or GED
Quick Apply
Registrar/ Receptionist
Mobile Medical Care —Rockville, MD
- Entry level
4d
Patient Access Representative
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Mid-level
- Commuter assistance
- AD&D insurance
Patient Service Coordinator MHUC
MedStar Health —Rockville, MD
- $18.70 - $32.72 an hour
- Full-time
- Urgent Care
- High school diploma or GED
- Computer skills
Medical Receptionist
Foxhall Pediatrics —Washington, DC
- $20 - $24 an hour
- Full-time
- Private practice
- Clinic
- Experience working with children
- Free parking
- Paid training
Quick Apply
10d
Patient Access Rep
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- HIPAA
Frond desk position, Patient Services Representative
Mid-Atlantic Epilepsy and Sleep Center —Bethesda, MD
- $20 - $26 an hour
- Full-time
- Spanish
- Computer literacy
- Writing skills
- 401(k)
- Paid time off
Quick Apply
9d

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

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

patient services representative jobs in bethesda md

Referral Management (Non-Nurse) Reviewer

Dental Front Office

Referral Management (Non-Nurse) Reviewer

Dental Front Desk – Part-Time

Front Desk Receptionist

Remote Central Intake Coordinator

Receptionist

Patient Service Representative

Unit Clerk

Access Call Center Representative

Radiology Patient Service Representative 12pm-8:30pm

Medical Scheduler

Patient Service Representative-Vision

Call Center Operator - All Shifts

Registrar/ Receptionist

Patient Access Representative

Patient Service Coordinator MHUC

Medical Receptionist

Patient Access Rep

Frond desk position, Patient Services Representative

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