Top 179 Customer care coordinator Jobs in Gaithersburg, 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
Confidential —Rockville, MD
- $20 - $25 an hour
- Full-time
- Dental office
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
2d
Front Desk Lead/Patient Experience Coordinator
Roselle Center for Healing —Fairfax, VA
- $20 - $25 an hour
- Full-time
- Microsoft Excel
- Basic math
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
5d
Admissions Assistant
Asbury Communities —Gaithersburg, MD
- $20 an hour
- Part-time
- Skilled nursing facility
- HIPAA
- Office
- Paid holidays
- Health insurance
Quick Apply
4d
Front Desk Medical Receptionist - Patient Service Coordinator
Watkins Mill ASC —Gaithersburg, MD
- $22.00 - $25.50 an hour
- Full-time
- Surgery
- English
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Patient Access Representative (Part Time | 16 Hours Per Week)
Children's National Hospital —Montgomery County, MD
- $20.75 - $40.99 an hour
- Part-time
- Microsoft Excel
- Computer literacy
- HIPAA
6d
Scheduling Coordinator, Senior Living
BAYADA Home Health Care —Gaithersburg, MD
- $48,000 - $52,000 a year
- Monday to Friday
- Medical office experience
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Patient Coordinator
Axle —Bethesda, MD
- $100,000 - $108,000 a year
- Writing skills
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
Call Center Coordinator
The Orthopaedic Center —Rockville, MD
- English
- Mid-level
- High school diploma or GED
Quick Apply
Call Center Coordinator
The Centers for Advanced Orthopaedics LL —Rockville, MD
- English
- Mid-level
- High school diploma or GED
Quick Apply
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
Membership Coordinator
(c) Management, Inc., (CMI) —Rockville, MD
- $45,000 - $52,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Commuter assistance
- Health savings account
Patient Service Coordinator MAS
MedStar Health —Silver Spring, MD
- $18.70 - $32.72 an hour
- Full-time
- High school diploma or GED
- Computer skills
- 1 year
5d
Front Office Receptionist
E.N.T. Specialty Partners —Gaithersburg, MD
- $16.92 - $23.89 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Paid holidays
- Disability insurance
Customer Care Service Support Coord
Johnson Controls —Capitol Heights, MD
- $29.80 - $38.00 an hour
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
- Paid training
- Wellness program
Practice Success Coordinator
Upperline Health Inc —Rockville, MD
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Front Desk Coordinator - Gaithersburg, MD
The Joint Chiropractic —Gaithersburg, MD
- $16 - $18 an hour
- Full-time
- High school diploma or GED
- Clinic
- Ability to lift 50 pounds
Quick Apply
Front Office Administrative Coordinator / Patient Access Specialist
BornFree Wellness Centers Of America —Germantown, MD
- $18 - $24 an hour
- Full-time
- Background check
- Private practice
- Addiction Medicine
- Paid training
- Health savings account
Quick Apply
3d
Patient Service Coordinator
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED

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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

Apply Now

Refine Your Search

customer care coordinator jobs in gaithersburg, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Patient Care Coordinator

Front Desk Lead/Patient Experience Coordinator

Admissions Assistant

Front Desk Medical Receptionist - Patient Service Coordinator

Patient Access Representative (Part Time | 16 Hours Per Week)

Scheduling Coordinator, Senior Living

Patient Coordinator

Call Center Coordinator

Call Center Coordinator

Patient Service Coordinator MHUC

Membership Coordinator

Patient Service Coordinator MAS

Front Office Receptionist

Customer Care Service Support Coord

Practice Success Coordinator

Front Desk Coordinator - Gaithersburg, MD

Front Office Administrative Coordinator / Patient Access Specialist

Patient Service Coordinator

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