Top 780 Patient services representative 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
Insurance Authorization and Pre-Certification Specialist
Medical Practice —Odenton, MD
- $21 - $24 an hour
- Full-time
- High school diploma or GED
- In-person
- Medical terminology
Quick Apply
Front Desk Specialist-GYN Surgical Center
Innovations Surgery Center —Rockville, MD
- $22 - $26 an hour
- Full-time
- Private practice
- Surgery
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Front Desk Receptionist
Integrated Neurology Services, PLLC —Falls Church, VA
- $19 - $22 an hour
- Full-time
- Background check
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Access Call Center Representative
Children's National Hospital —Silver Spring, MD
- $18.54 - $30.89 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- Commuter assistance
- AD&D insurance
Front Desk Receptionist
Maryland Eye Consultants and Surgeons —Silver Spring, MD
- $18 - $24 an hour
- Part-time
- Travel
- In-person
- Reliable transportation
- Paid time off
Quick Apply
Medical Receptionist
Southern Maryland Medical Group —Riverdale, MD
- From $17 an hour
- 8 hour shift
- HIPAA
- High school diploma or GED
- Quality control
- Paid holidays
- Health insurance
Quick Apply
Call Center Agent
Zimmerman Associates, Inc. —Bethesda, MD
- $21.50 an hour
- Microsoft Outlook
- Computer literacy
- Primary Care
Patient Access ED Registrar, PT Day Shift, Patient Access
Adventist HealthCare —Silver Spring, MD
- $18.40 - $23.48 an hour
- Part-time
- Medical office experience
- Pass drug screening
- High school diploma or GED
- Free parking
- AD&D insurance
Patient Access Registrar II, Part-Time Rotating Shift, Patient Access
Adventist HealthCare —Silver Spring, MD
- $19.64 - $25.65 an hour
- Part-time
- Hospital
- Pass drug screening
- Inpatient
- Free parking
- AD&D insurance
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
4d
Patient Service Coordinator MHUC
MedStar Health —Rockville, MD
- $18.70 - $32.72 an hour
- Full-time
- Urgent Care
- High school diploma or GED
- Computer skills
Patient Access Representative
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Mid-level
- Commuter assistance
- AD&D insurance
Front Desk Receptionist
Montgomery Endocrinology, LLC —Rockville, MD
- $20 - $24 an hour
- Full-time
- In-person
- Entry level
- 401(k)
- Paid time off
Quick Apply
4d
Customer Care Representative - Call Center
Neurology Center P A —Silver Spring, MD
- Full-time
- Computer literacy
- HIPAA
- Computer skills
20h
Dental receptionist/Assistant
Richard Nemes DDS —Silver Spring, MD
- $25.60 - $30.83 an hour
- Part-time
- Dental office
- In-person
- Entry level
Quick Apply
Patient Access Rep
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- HIPAA
Medical Receptionist - PCSC
Columbia Mental Health —Silver Spring, MD
- $19 - $21 an hour
- Full-time
- CPR Certification
- BLS Certification
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Call Center Operator - All Shifts
AFCO LLC —Bethesda, MD
- $23 an hour
- Night shift
- Writing skills
- Administrative experience
- High school diploma or GED
Quick Apply

I want to receive the latest job alert for patient services representative in silver spring, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient services representative jobs near silver spring, md

Dental Receptionist jobs in Silver Spring, MD

Patient Access Representative jobs in Washington, DC

Front Desk Agent jobs in Rockville, MD

Front Desk Receptionist jobs in Falls Church, VA

Customer Support Representative jobs in Silver Spring, MD

Patient Registrar jobs in Silver Spring, MD

Nurse jobs in Bethesda, MD

Front Desk Receptionist jobs in Silver Spring, MD

Call Center Representative jobs in Bethesda, MD

Call Center Representative jobs in Silver Spring, MD

Medical Receptionist jobs in Silver Spring, MD

Front Desk Receptionist jobs in Rockville, MD

Patient Access Representative jobs in Montgomery County, MD

Dental Receptionist jobs in Layton, UT

Dental Laboratory Technician jobs in Florida

Assisted Living Receptionist jobs in Raleigh, NC

Medical Receptionist jobs in Dothan, AL

Dental Receptionist jobs in Worcester, MA

Dental Receptionist jobs in Sioux Falls, SD

Dental Receptionist jobs in Kent, WA

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 silver spring, md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Insurance Authorization and Pre-Certification Specialist

Front Desk Specialist-GYN Surgical Center

Front Desk Receptionist

Access Call Center Representative

Front Desk Receptionist

Medical Receptionist

Call Center Agent

Patient Access ED Registrar, PT Day Shift, Patient Access

Patient Access Registrar II, Part-Time Rotating Shift, Patient Access

Patient Access Representative (Full-time)

Patient Service Coordinator MHUC

Patient Access Representative

Front Desk Receptionist

Customer Care Representative - Call Center

Dental receptionist/Assistant

Patient Access Rep

Medical Receptionist - PCSC

Call Center Operator - All Shifts

I want to receive the latest job alert for patient services representative in silver spring, md

Related Searches

Explore jobs in more locations

Role and Responsibilities:

Qualifications / Skills / Experience:

Essential Tasks:

Job Seeker Tools

Employer Tools

Browse

Stay Connected