Top 685 Patient services representative Jobs in Gambrills Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Service Coordinator
College Park Physical Therapy & Hand Rehabilitation —Riverdale Park, MD
- From $19 an hour
- Full-time
- Background check
- Spanish
- Office
- Health insurance
- Dental insurance
Quick Apply
1d
Dental Front Desk Receptionist
KB Staffing Solutions Group —Baltimore, MD
- From $26 an hour
- Extended hours
- Dental office
- Surgery
- 5 years
- Dental insurance
- 401(k)
Quick Apply
1h
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Care Coordinator - Front Desk
TheraFit Rehab —Windsor Mill, MD
- $17 - $20 an hour
- Full-time
- Private practice
- Experience working with individuals with disabilities
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
14d
Customer Service Representative
Johns Hopkins Medical Management Corporation —Hanover, MD
- $21.87 an hour
- Temporary
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Health insurance
Quick Apply
5d
Administrative Assistant
Mercy Medical Center —Glen Burnie, MD
- $21.98 - $36.27 an hour
- Full-time
- Hospital
- Clinic
- Epic
- 403(b) matching
- Paid holidays
Customer Service Advocate I (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $32,256 - $59,136 a year
- Full-time
- Remote
- High school diploma or GED
- US work authorization
- 1 year
- 401(k)
Quick Apply
8d
Patient Care Coordinator
Meg Fox Aesthetics —Towson, MD
- $20 - $22 an hour
- Full-time
- Inventory management
- Customer service
- Merchandising
- 401(k)
- Employee discount
Quick Apply
12d
Customer Service Advocate II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $39,240 - $71,940 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- 401(k)
Quick Apply
8d
Patient Service Coordinator
MedStar Health —Annapolis, MD
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED
Statewide Clerk at RO-Maryland
Centurion Health —Columbia, MD
- $20.86 - $29.00 an hour
- Full-time
- Computer literacy
- Pass drug screening
- Office
- Paid holidays
- Disability insurance
Quick Apply
2d
Scheduling Concierge - Primary Care
Mercy Medical Center —Baltimore, MD
- $21.98 - $36.27 an hour
- Full-time
- Medical office experience
- Primary Care
- Mid-level
- 403(b) matching
- Paid holidays
Patient Service Representative
Chase Brexton Health Care —Glen Burnie, MD
- $17.83 - $22.92 an hour
- Full-time
- High school diploma or GED
- Analysis skills
- 1 year
Quick Apply
Customer Care Representatives (Call Center)
Johns Hopkins Medical Management Corporation —Hanover, MD
- $22 an hour
- Temporary
- Writing skills
- Research
- High school diploma or GED
Quick Apply
14d
Patient Access Representative
Mercy Medical Center —Baltimore, MD
- $19.49 - $32.16 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Hospital
- 403(b) matching
- Paid holidays
Patient Services Representative
RGW Parent Inc —Bowie, MD
- $18.21 - $26.72 an hour
- Computer literacy
- HIPAA
- English
- Wellness program
- Commuter assistance
Quick Apply
Front Office Coordinator, Primary Care
University of Maryland Medical System —Millersville, MD
- Full-time
- Primary Care
- High school diploma or GED
- Clinic
12h
Call Center Rep
RGW Parent Inc —Greenbelt, MD
- $20.00 - $29.40 an hour
- Entry level
- Wellness program
- Commuter assistance
Quick Apply
Senior Administrative Assistant (Full Time)
USA Sleep Diagnostic Services —Odenton, MD
- From $25 an hour
- Full-time
- 5 years
- Writing skills
- English
Quick Apply
7d

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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

patient services representative jobs in gambrills md

Referral Management (Non-Nurse) Reviewer

Patient Service Coordinator

Dental Front Desk Receptionist

Referral Management (Non-Nurse) Reviewer

Patient Care Coordinator - Front Desk

Customer Service Representative

Administrative Assistant

Customer Service Advocate I (Remote)

Patient Care Coordinator

Customer Service Advocate II (Remote)

Patient Service Coordinator

Statewide Clerk at RO-Maryland

Scheduling Concierge - Primary Care

Patient Service Representative

Customer Care Representatives (Call Center)

Patient Access Representative

Patient Services Representative

Front Office Coordinator, Primary Care

Call Center Rep

Senior Administrative Assistant (Full Time)

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