Top 715 Patient services representative Jobs in Gaithersburg, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Call Center Agent
Zimmerman Associates, Inc. —Bethesda, MD
- $21.50 an hour
- Microsoft Outlook
- Computer literacy
- Primary Care
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Service Representative
Prism Vision Group —Rockville, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
3d
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
Front Desk Receptionist-Patient Care Coordinator
Lifetime Smile —Gaithersburg, MD
- $22 - $28 an hour
- Full-time
- Dental office
- US work authorization
- Entry level
- Health insurance
- Dental insurance
Quick Apply
10d
Call Center Representative, Silver Spring
Children's National Hospital —Silver Spring, MD
- $17.95 - $27.49 an hour
- Full-time
- In person
- High school diploma or GED
- Children
- Computer skills
3d
Representative II, Patient Access
Holy Cross Health —Germantown, MD
- $17.89 - $25.04 an hour
- Part-time
- Hospital
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
11d
Scheduling Specialist
Johns Hopkins Regional Physicians —Columbia, MD
- $24 - $28 an hour
- Full-time
- High school diploma or GED
- Medical terminology
- Cardiology
2d
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
Front Office Receptionist
E.N.T. Specialty Partners —Rockville, MD
- $20 - $25 an hour
- Full-time
- Sanitation
- High school diploma or GED
- Clinic
8d
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
7d
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
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
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
Medical Receptionist (33)
Brandan Enterprises Inc —Bethesda, MD
- $28.23 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
Quick Apply
Call Center Representative - PRN
Children's National Hospital —Silver Spring, MD
- $17.95 - $27.49 an hour
- PRN
- In person
- High school diploma or GED
- Children
- Computer skills
2d
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
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
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

I want to receive the latest job alert for patient services representative in gaithersburg, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient services representative jobs near gaithersburg, md

Patient Access Representative II jobs in Germantown, MD

Front Desk Receptionist jobs in Gaithersburg, MD

Call Center Representative jobs in Silver Spring, MD

Patient Services Representative jobs in Rockville, MD

Patient Services Representative jobs in Silver Spring, MD

Patient Access Representative jobs in Washington, DC

Nurse jobs in Bethesda, MD

Call Center Representative jobs in Bethesda, MD

Front Desk Receptionist jobs in Rockville, MD

Scheduler jobs in Columbia, MD

Medical Receptionist jobs in Bethesda, MD

Patient Access Representative Ii jobs in Rock Hill, SC

Patient Access Representative Ii jobs in Safety Harbor, FL

Patient Transporter jobs in Baltimore, MD

Medical Sales Representative jobs in San Diego, CA

Metro Access Driver jobs in Bowie, MD

Patient Access Representative Ii jobs in Highland Park, IL

Remote Customer Service Representative jobs in Saint Paul, MN

Patient Access Representative Ii jobs in Miami, FL

Receptionist jobs in Bloomfield, NJ

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

patient services representative jobs in gaithersburg, md

Referral Management (Non-Nurse) Reviewer

Call Center Agent

Referral Management (Non-Nurse) Reviewer

Patient Service Representative

Clinic Operations Representative - PRN, Montgomery County (Mon - Fri, Day Shift)

Front Desk Receptionist-Patient Care Coordinator

Call Center Representative, Silver Spring

Representative II, Patient Access

Scheduling Specialist

Patient Service Representative Float

Front Office Receptionist

Patient Service Representative

Patient Service Representative Float (PRN)

Access Call Center Representative

Front Desk Medical Receptionist - Patient Service Coordinator

Medical Receptionist (33)

Call Center Representative - PRN

Admissions Coordinator

Patient Access Representative

Clinic Operations Representative - PRN Main Campus/DC Offices Hub (Mon-Fri, Day shift)

I want to receive the latest job alert for patient services representative in gaithersburg, md

Related Searches

Explore jobs in more locations

Role and Responsibilities:

Qualifications / Skills / Experience:

Essential Tasks:

Job Seeker Tools

Employer Tools

Browse

Stay Connected