Top 739 Patient access representative Jobs in Lanham, 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
Dental Administrator, Mon-Wed
Barker Family Dental —Pasadena, MD
- $24 - $30 an hour
- Part-time
- Dental office
- English
- Mid-level
Quick Apply
Patient Advocacy Coordinator
The Center for Innovative GYN Care —Rockville, MD
- $80,000 - $100,000 a year
- Extended hours
- Hybrid work
- Spanish
- Nursing
- Surgery
- Disability insurance
- Health insurance
Quick Apply
3d
Dental Receptionist
Divine Dental —Annapolis, MD
- $44,000 - $56,000 a year
- Full-time
- Dental office
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Patient Services Representative
Prism Vision Group —Greenbelt, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
11d
Customer Information Assistant
Luminis Health —Lanham, MD
- $17.50 - $23.00 an hour
- PRN
- Hospital
- High school diploma or GED
- Typing
- AD&D insurance
- Paid holidays
Front Desk Assistant
Integrated Behavioral Health —Lanham, MD
- $18 - $22 an hour
- Part-time
- Bilingual
- Google Workspace
- Microsoft Outlook
Quick Apply
5d
Full time dental front desk receptionist
Multi-specialty Dentists —Silver Spring, MD
- $17 - $20 an hour
- Email
- Spanish
- Dental office
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Patient Service Representative
Patient First —Landover Hills, MD
- $20 - $23 an hour
- Part-time
- 18 years or older
- Ability to walk for extended periods
- Maintenance
- 401(k)
- 401(k) matching
Patient Access Associate
Luminis Health —Lanham, MD
- 8 hour shift
- Hospital
- HIPAA
- High school diploma or GED
- AD&D insurance
- Paid holidays
Call Center Rep
RGW Parent Inc —Greenbelt, MD
- $20.00 - $29.40 an hour
- Entry level
- Wellness program
- Commuter assistance
Quick Apply
Unit Resource Coordinator
Luminis Health —Lanham, MD
- $20 - $33 an hour
- PRN
- Hospital
- Inpatient
- High school diploma or GED
- AD&D insurance
- Paid holidays
Patient Access Coordinator
Luminis Health —Lanham, MD
- $18 - $25 an hour
- Part-time
- Hospital
- HIPAA
- High school diploma or GED
- AD&D insurance
- Paid holidays
Front Desk Receptionist
Vision Source —Mitchellville, MD
- $17 - $20 an hour
- Part-time
- Private practice
- Communication skills
- Entry level
Quick Apply
Medical Receptionist / Front Desk
Fyzical —Lanham, MD
- Computer literacy
- No experience needed
- High school diploma or GED
- Opportunities for advancement
Unit Clerk
University of Maryland Medical System —Largo, MD
- $17.00 - $27.12 an hour
- Full-time
- High school diploma or GED
- Entry level
Patient Service Coordinator
MedStar Health —Bowie, MD
- $18.70 - $32.72 an hour
- PRN
- BLS Certification
- Urgent Care
- High school diploma or GED
Patient Access Associate - FT - D/E (11A-7P) - LHDCMC
Luminis Health —Lanham, MD
- $17.50 - $24.00 an hour
- 8 hour shift
- Hospital
- HIPAA
- High school diploma or GED
- AD&D insurance
- Paid holidays
Customer Service Call Center Agent
VECRA Inc —Lanham, MD
- $18.50 an hour
- 8 hour shift
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply

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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 lanham, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Dental Administrator, Mon-Wed

Patient Advocacy Coordinator

Dental Receptionist

Patient Services Representative

Customer Information Assistant

Front Desk Assistant

Full time dental front desk receptionist

Patient Service Representative

Patient Access Associate

Call Center Rep

Unit Resource Coordinator

Patient Access Coordinator

Front Desk Receptionist

Medical Receptionist / Front Desk

Unit Clerk

Patient Service Coordinator

Patient Access Associate - FT - D/E (11A-7P) - LHDCMC

Customer Service Call Center Agent

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