Top 787 Patient services coordinator Jobs in Odenton, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Patient Health Navigator
Washington Health Institute —Washington, DC
- $65,000 a year
- Weekends as needed
- Spanish
- Customer service
- English
- 403(b) matching
- Health savings account
Quick Apply
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Front Desk Coordinator
Pike District Smiles —North Bethesda, MD
- $22 - $28 an hour
- Full-time
- Dental office
- In-person
- 1 year
- 401(k)
- Paid time off
Quick Apply
Patient Service Coordinator
MedStar Health —Bowie, MD
- $18.70 - $32.72 an hour
- PRN
- BLS Certification
- Urgent Care
- High school diploma or GED
Patient Care and Scheduling Coordinator
Greater Maryland Pain Management —Odenton, MD
- $22 an hour
- Full-time
- Medical office experience
- HIPAA
- Organizational skills
- 401(k)
- Paid time off
Quick Apply
Administrative Services Coordinator II - Behavioral Psychology
Kennedy Krieger Institute —Columbia, MD
- $45,059.66 - $75,603.63 a year
- Full-time
- Research
- Mid-level
- Office
Data Medication Delivery Coordinator
Mercy Medical Center —Baltimore, MD
- $20.32 - $33.53 an hour
- Full-time
- Hospital
- Customer service
- Databases
- 403(b) matching
- Paid holidays
Patient Account Coordinator
FutureCare —Annapolis, MD
- $55,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Tuition reimbursement
- Paid time off
Quick Apply
5d
Patient Coordinator
GAP SOLUTIONS INC —Bethesda, MD
- $85,000 - $105,000 a year
- Email
- Writing skills
- Mid-level
- Bachelor's degree
Quick Apply
Patient Service Coordinator (Cardiology)
Johns Hopkins University —Columbia, MD
- $16.20 - $28.80 an hour
- Full-time
- Background check
- High school diploma or GED
- Computer skills
7d
Operations Coordinator
PRECISION ORTHOPEDICS AND SPORTS MEDICINE LLC —Fulton, MD
- $75,000 - $90,000 a year
- Full-time
- Mid-level
- 3 years
- Clinic
- Mileage reimbursement
- Health savings account
Quick Apply
1d
Scheduling Coordinator, Primary Care
University of Maryland Medical System —Millersville, MD
- Full-time
- Computer literacy
- Primary Care
- High school diploma or GED
8d
Office Coordinator / front desk Associate
HealthSource Chiropractic of Crofton —Crofton, MD
- $18 - $24 an hour
- Full-time
- Inventory control
- HIPAA
- Windows
- Continuing education credits
- Paid time off
Quick Apply
14d
Patient Access Representative (PRN | As Needed)
Children's National Hospital —Prince George's County, MD
- $20.75 - $40.99 an hour
- PRN
- Microsoft Excel
- Computer literacy
- HIPAA
Call Center Operator - Healthcare
Mercy Medical Center —Baltimore, MD
- $17.83 - $26.75 an hour
- Full-time
- Medical office experience
- High school diploma or GED
- Ob/Gyn
- 403(b) matching
- Paid holidays
6d
Patient Coordinator
Benevis —Brooklyn, MD
- Full-time
- Dental office
- High school diploma or GED
- Experience working with children
- Paid holidays
- Health insurance
7d
Office Coordinator
MedStar Health —Baltimore, MD
- $23.65 - $42.03 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
5d
Front Desk & Patient Experience Coordinator
World Class Chiropractic —Ellicott City, MD
- $20 - $26 an hour
- Full-time
- Marketing
- Entry level
- Paid training
- Health insurance
Quick Apply
18h
Infusion Coordinator
Maryland Oncology —Annapolis, MD
- $23.42 - $36.03 an hour
- On call
- Research
- Mid-level
- 3 years
- Health insurance
15h

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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 services coordinator jobs in odenton, md

Referral Management (Non-Nurse) Reviewer

Patient Health Navigator

Referral Management (Non-Nurse) Reviewer

Front Desk Coordinator

Patient Service Coordinator

Patient Care and Scheduling Coordinator

Administrative Services Coordinator II - Behavioral Psychology

Data Medication Delivery Coordinator

Patient Account Coordinator

Patient Coordinator

Patient Service Coordinator (Cardiology)

Operations Coordinator

Scheduling Coordinator, Primary Care

Office Coordinator / front desk Associate

Patient Access Representative (PRN | As Needed)

Call Center Operator - Healthcare

Patient Coordinator

Office Coordinator

Front Desk & Patient Experience Coordinator

Infusion Coordinator

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