Top 865 Patient services representative Jobs in Burtonsville 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
Patient Care Coordinator/Technician
Hearing Doctors —McLean, VA
- $23 - $25 an hour
- Full-time
- Customer service
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Full time dental front desk receptionist
Multi-specialty Dentists —Silver Spring, MD
- $17 - $20 an hour
- Email
- Spanish
- Dental office
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Dental Front Desk/Receptionist
DCB Associates —Catonsville, MD
- $16 - $25 an hour
- Full-time
- Dental office
- Customer service
- High school diploma or GED
- 401(k)
- Tuition reimbursement
Quick Apply
9d
Clinic Operations Representative - PRN, Montgomery County (Mon - Fri, Day Shift)
Children's National Hospital —Silver Spring, MD
- $20.75 - $40.99 an hour
- PRN
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
Patient Service Representative
Patient First —Laurel, MD
- $19.50 - $22.00 an hour
- Full-time
- 18 years or older
- Ability to walk for extended periods
- Maintenance
- Paid holidays
- Disability insurance
12d
Front desk Scheduler and Tx Planner
Patuxent River Dental Care —Laurel, MD
- $18 - $26 an hour
- Part-time
- Dental office
- In-person
- Communication skills
Quick Apply
1d
Patient Service Representative Float (PRN)
Community Radiology Associates —Silver Spring, MD
- $18 - $24 an hour
- Per diem
- Computer literacy
- High school diploma or GED
- Computer skills
- Health savings account
- Health insurance
13d
Patient Service Representative Float
Community Radiology Associates —Silver Spring, MD
- $18 - $24 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
13d
Patient Service Representative
Community Radiology Associates —Silver Spring, MD
- $18 - $24 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
1d
Clinic Operations Representative - PRN, Northern Virginia (Mon - Fri, Day Shift)
Children's National Hospital —Silver Spring, MD
- $20.75 - $40.99 an hour
- 8 hour shift
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
Medical Receptionist (Part-time: 24 hours per week)
MARYLAND PRIMARY CARE PHYSICIANS LLC —Columbia, MD
- $17 - $22 an hour
- Part-time
- Word processing
- Primary Care
- HIPAA
Clinic Operations Representative - PRN Main Campus/DC Offices Hub (Mon-Fri, Day shift)
Children's National Hospital —Silver Spring, MD
- $20.75 - $40.99 an hour
- PRN
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
Patient Services Representative
Prism Vision Group —Greenbelt, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
11d
Front Desk Receptionist
Elevate Dentistry —Silver Spring, MD
- $22 - $28 an hour
- Part-time
- Spanish
- Dental office
- Organizational skills
- Free parking
- Paid time off
Quick Apply
6d
Medical Office Assistant
Riderwood Village by Erickson Senior Living —Silver Spring, MD
- $22 - $23 an hour
- 18 years or older
- Computer literacy
- Administrative experience
- Health insurance
- Dental insurance
12d
Patient Service Representative
Advanced Radiology —Ellicott City, MD
- $18 - $23 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
9d
Front Desk Receptionist
US Foot & Ankle Specialists —Silver Spring, MD
- $20 - $22 an hour
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Patient Service Coordinator
Howard County Pediatrics —Columbia, MD
- From $18.50 an hour
- Part-time
- Private practice
- Microsoft Excel
- HIPAA
- Paid time off
- Flexible schedule
Quick Apply
13d

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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 burtonsville md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

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