Top 738 Patient access 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
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Services Coordinator
Frederick Primary Care Associates —Frederick, MD
- $15 - $18 an hour
- Overtime
- Customer service
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
2h
Dermatology Front Desk Receptionist
Divergent Dermatology and Aesthetics LLC —Germantown, MD
- From $18 an hour
- Full-time
- Hybrid work
- Bilingual
- Background check
- HIPAA
- Free parking
- Paid training
Quick Apply
4d
Registrar/ Mobile Clinic Van Driver
Mobile Medical Care, Inc.- Montgomery County, MD —Silver Spring, MD
- From $21.50 an hour
- Full-time
- Background check
- Spanish
- Clean driving record
- Disability insurance
- Health insurance
Quick Apply
Patient Access Representative (Full-time)
Children's National Hospital —Montgomery County, MD
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- HIPAA
2d
Front Desk
U.S. Dermatology Partners —Rockville, MD
- $18 - $21 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
13d
Front Desk Associate (Part-time) Germantown, MD & Rockville, MD
PM Pediatrics Management Group —Germantown, MD
- $17 - $28 an hour
- Part-time
- Sanitation
- HIPAA
- High school diploma or GED
Quick Apply
12d
OPS - Patient Representative I
Community Clinic Inc. —Gaithersburg, MD
- $20 - $21 an hour
- Full-time
- CPR Certification
- Bachelor of Science
- High school diploma or GED
Quick Apply
2d
Mental Health Receptionist
MAPP Behavioral Health —Germantown, MD
- $18 - $22 an hour
- Temporary
- Private practice
- Microsoft Excel
- Microsoft Outlook
Quick Apply
3d
Orthodontic Office Front Desk
Rad Orthodontics —Bethesda, MD
- $20 - $25 an hour
- Full-time
- Spanish
- Dental office
- Customer service
- Health savings account
- Health insurance
Quick Apply
Medical Front Office
Gold Pediatrics Llc —Rockville, MD
- $21 - $23 an hour
- Full-time
- Spanish
- Organizational skills
- Entry level
- Health insurance
- 401(k)
Quick Apply
2d
Clinic Operations Representative - Full Time, Montgomery County
Children's National Hospital —Montgomery County, MD
- $20.75 - $40.99 an hour
- Full-time
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
13d
Full-Time Medical Office Receptionist
THH Pediatrics —Germantown, MD
- From $19 an hour
- Full-time
- HIPAA
- Ability to lift 50 pounds
- Children
- Health insurance
- Dental insurance
Quick Apply
6d
Patient Access Registrar I, Day Shift, Rehabilitation
Adventist HealthCare —Rockville, MD
- $19.21 - $24.90 an hour
- Full-time
- Hospital
- Pass drug screening
- High school diploma or GED
- Free parking
- AD&D insurance
3d
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
6d
Radiology Call Center Representative 10:30a-7pm
The Radiology Clinic —Rockville, MD
- $22 - $24 an hour
- 8 hour shift
- Background check
- Spanish
- Mid-level
- Health savings account
- Health insurance
Quick Apply
1d
Patient Registrar / Medical Receptionist
Montgomery Cardiology LLC —Rockville, MD
- $18 - $20 an hour
- Full-time
- Private practice
- Spanish
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
9d
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
Clinical Patient Support Representative
United Urology Group —Germantown, MD
- Full-time
- Vital signs
- HIPAA
- High school diploma or GED
- Dental insurance
- Tuition reimbursement
Quick Apply
8d

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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 access representative jobs in gaithersburg md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Patient Services Coordinator

Dermatology Front Desk Receptionist

Registrar/ Mobile Clinic Van Driver

Patient Access Representative (Full-time)

Front Desk

Front Desk Associate (Part-time) Germantown, MD & Rockville, MD

OPS - Patient Representative I

Mental Health Receptionist

Orthodontic Office Front Desk

Medical Front Office

Clinic Operations Representative - Full Time, Montgomery County

Full-Time Medical Office Receptionist

Patient Access Registrar I, Day Shift, Rehabilitation

Remote Central Intake Coordinator

Radiology Call Center Representative 10:30a-7pm

Patient Registrar / Medical Receptionist

Front Desk Medical Receptionist - Patient Service Coordinator

Clinical Patient Support Representative

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