Top 240 Document reviewer Jobs in Silver Spring, 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
Legal Document Reviewer
Rapid Finance —Bethesda, MD
- Full-time
- Microsoft Outlook
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Data Processing Specialist, Associate
LCG, Inc. —Rockville, MD
- $20 - $25 an hour
- PRN
- Remote
- 7 years
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Grants Project Coordinator & Data Processing Specialist, Junior
LCG, Inc. —Rockville, MD
- $23.49 - $29.31 an hour
- Remote
- Microsoft Outlook
- Customer service
- Administrative experience
- Paid holidays
- Disability insurance
Quick Apply
Grants Project Coordinator & Data Processing Specialist, Associate
LCG, Inc. —Rockville, MD
- $27.64 - $34.01 an hour
- Remote
- Microsoft Outlook
- Mid-level
- Continuous improvement
- Paid holidays
- Disability insurance
Quick Apply
Laboratory Site Reviewer - NIH (Part-Time)
Global Solutions Network Inc —Rockville, MD
- $36.06 - $67.27 an hour
- Part-time
- Microsoft Outlook
- Bachelor of Science
- Mid-level
- Travel reimbursement
- Profit sharing
Quick Apply
Telework US Government Grants Management Specialist / Grants Support Specialist
Arcetyp LLC —Bethesda, MD
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Analysis skills
Quick Apply
Credit Document Specialist
Burke & Herbert Bank & Trust —Bethesda, MD
- $30 - $40 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
5d
Utilization Review Coordinator
Psychiatric Institute of Washington —Washington, DC
- $33.60 - $50.40 an hour
- PRN
- Psychiatry
- Pass drug screening
- Adults
- Health insurance
- Dental insurance
Declassification Analyst - Entry Level
Global Engineering & Technology, Inc. (GET) —College Park, MD
- $70,000 - $85,000 a year
- Full-time
- Engineering
- Data analysis skills
- Office
- AD&D insurance
- Disability insurance
Quick Apply
14d
Practice Assistant
K&L Gates —Washington, DC
- $79,000 - $119,000 a year
- Overtime
- Remote
- Background check
- Microsoft Outlook
- Addiction Medicine
- Profit sharing
- Wellness program
Grants Project Coordinator & Data Processing Specialist, Senior
LCG, Inc. —Rockville, MD
- $33.45 - $36.85 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid holidays
- Disability insurance
Quick Apply
Clinical Reviewer DC
Comagine Health —Washington, DC
- $93,000 - $104,000 a year
- Full-time
- Hybrid work
- RN License
- Writing skills
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
IMLS Grants Management Support
Grey Street Consulting LLC —Washington, DC
- Remote
- Writing skills
- English
- Mid-level
- Health insurance
- Dental insurance
Sr. Records Specialist/Declassification Analyst
MSM Technology, LLC —College Park, MD
- $95,000 - $125,000 a year
- Mid-level
- Ability to lift 50 pounds
Quick Apply
13d
Practice Assistant - [Public Policy & Regulatory]
K&L Gates —Washington, DC
- $79 an hour
- Overtime
- Remote
- Background check
- Microsoft Outlook
- Addiction Medicine
- Profit sharing
- Wellness program
Urdu Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Farsi Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel
Romanian Reviewer/Editor/Certifier, DOJ LSS
Yorktown Systems Group —Washington, DC
- Part-time
- Research
- Analysis skills
- Travel

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document reviewer jobs near silver spring, md

Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

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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

document reviewer jobs in silver spring, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Legal Document Reviewer

Data Processing Specialist, Associate

Grants Project Coordinator & Data Processing Specialist, Junior

Grants Project Coordinator & Data Processing Specialist, Associate

Laboratory Site Reviewer - NIH (Part-Time)

Telework US Government Grants Management Specialist / Grants Support Specialist

Credit Document Specialist

Utilization Review Coordinator

Declassification Analyst - Entry Level

Practice Assistant

Grants Project Coordinator & Data Processing Specialist, Senior

Clinical Reviewer DC

IMLS Grants Management Support

Sr. Records Specialist/Declassification Analyst

Practice Assistant - [Public Policy & Regulatory]

Urdu Reviewer/Editor/Certifier, DOJ LSS

Farsi Reviewer/Editor/Certifier, DOJ LSS

Romanian Reviewer/Editor/Certifier, DOJ LSS

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