Top 7150 Medical facility Jobs in Gaithersburg, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Case Manager (Service Coordinator)
Service Coordination, Inc —Gaithersburg, MD
- $64,395 - $79,861 a year
- Pass drug screening
- HIPAA
- Research
- Paid training
- 403(b) matching
Quick Apply
Custodial Technician
COMMUNITY SUPPORT SERVICES INC. —Gaithersburg, MD
- From $23.29 an hour
- Full-time
- Office
- Residential
- Ability to lift 50 pounds
- Disability insurance
- Health insurance
Quick Apply
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Medical Practice Manager
Metropolitan access —Colmar Manor, MD
- $100,000 - $130,000 a year
- Full-time
- HIPAA
- Mid-level
- Administrative experience
- Health insurance
- Paid time off
Quick Apply
1d
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
8d
Surgery Scheduler
E.N.T. Specialty Partners —Gaithersburg, MD
- $22 - $25 an hour
- Full-time
- Surgery
- Hospital
- Medical office experience
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
14d
Front Desk Receptionist
CloseKnit MSO —Germantown, MD
- $20 - $24 an hour
- Full-time
- Spanish
- Inventory management
- HIPAA
Quick Apply
Surgery Scheduler
SurgCenter of the Potomac (11309) —Bethesda, MD
- $25.00 - $30.77 an hour
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Admissions Coordinator
Brooke Grove Retirement Village —Olney, MD
- $24 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Office
- Paid holidays
- Disability insurance
Quick Apply
12d
Admissions and Dispositions Clerk - Medical
Professional Performance Development Group —Bethesda, MD
- $21 - $27 an hour
- 12 hour shift
- Writing skills
- English
- Administrative experience
Quick Apply
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
8d
Material Handler II - 1st Shift
Thermo Fisher Scientific —Germantown, MD
- $15.83 - $23.77 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Commuter assistance
- Paid parental leave
Night Crew Stocker
Safeway —Gaithersburg, MD
- $15 - $19 an hour
- Part-time
- 18 years or older
- Merchandising
- Forklift
- Paid holidays
- Disability insurance
Quick Apply
Medical Support Assistant (Advanced)
US Veterans Health Administration —Washington, DC
- $59,102 - $76,832 a year
- Online Application
- Hybrid work
- Background check
- Writing skills
- Pass drug screening
5d
Certified Nursing Assistant
Prestova Home Care —Gaithersburg, MD
- $18 - $22 an hour
- Part-time
- CPR Certification
- Anatomy knowledge
- Heavy lifting
- Paid time off
- Flexible schedule
Quick Apply
Patient Access Registrar (All Shifts Required)
MedStar Health —Washington, DC
- $26.03 - $39.51 an hour
- Full-time
- Basic math
- High school diploma or GED
- ER
Call Center Strategic Scheduler
ARTHRITIS & RHEUMATISM ASSOCIATES P —Rockville, MD
- $23 - $24 an hour
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Free parking
- Paid parental leave
Quick Apply
11h
Patient Service Representative
Community Radiology Associates —Frederick, MD
- $18 - $24 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
7d

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

Job Details

$24.13 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: $24.13 per hour plus $5.09 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

medical facility jobs in gaithersburg, md

Referral Management (Non-Nurse) Reviewer

Case Manager (Service Coordinator)

Custodial Technician

Referral Management (Non-Nurse) Reviewer

Medical Practice Manager

Patient Service Representative Float

Surgery Scheduler

Front Desk Medical Receptionist - Patient Service Coordinator

Front Desk Receptionist

Surgery Scheduler

Admissions Coordinator

Admissions and Dispositions Clerk - Medical

Patient Service Representative Float (PRN)

Material Handler II - 1st Shift

Night Crew Stocker

Medical Support Assistant (Advanced)

Certified Nursing Assistant

Patient Access Registrar (All Shifts Required)

Call Center Strategic Scheduler

Patient Service Representative

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