Top 756 Patient services representative Jobs in Silver Spring Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Patient Coordinator/Front Desk
Renovasmiles Dental Office —Falls Church, VA
- From $18 an hour
- Full-time
- Bilingual
- Dental office
- Computer literacy
- Health insurance
- 401(k)
Quick Apply
Dental Front Desk and Insurance Coordinator
Confidential —McLean, VA
- $20 - $25 an hour
- Full-time
- Spanish
- Dental office
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Patient Services Specialist
American Oncology Network, Inc. —Bethesda, MD
- $17.74 - $29.55 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Tuition reimbursement
Quick Apply
Front Desk Receptionist
Maryland Primary Care and Wellness —Silver Spring, MD
- $23.32 - $28.08 an hour
- Full-time
- Google Workspace
- Microsoft Outlook
- Administrative experience
- Paid training
- Opportunities for advancement
Quick Apply
22h
Front Desk/Scheduler
Surgcenter of Silver Spring (13812) —Silver Spring, MD
- $22.70 - $27.80 an hour
- Part-time
- Surgery
- High school diploma or GED
- Computer skills
- Health savings account
- AD&D insurance
6d
Call Center Representative
Children's National Hospital —Silver Spring, MD
- $17.95 - $27.49 an hour
- Full-time
- In person
- High school diploma or GED
- Children
- Computer skills
11d
Surgical Scheduler
Beale Personnel, Inc. —Washington, DC
- $25 - $30 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Bilingual Medical Receptionist (English/Spanish)
APT Healthcare —Hyattsville, MD
- $20 - $22 an hour
- Full-time
- Background check
- Spanish
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Clinic Operations Representative - PRN, Montgomery County (Mon - Fri, Day Shift)
Children's National Hospital —Silver Spring, MD
- $20.75 - $40.99 an hour
- PRN
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
11d
Customer Service Associate Representative - Cigna Healthcare - Remote
The Cigna Group —Washington, DC
- $17.75 - $19.00 an hour
- Online Application
- Remote
- Basic math
- Research
- Windows
- Paid holidays
- Health insurance
3d
Call Center Rep
RGW Parent Inc —Greenbelt, MD
- $20.00 - $29.40 an hour
- Entry level
- Wellness program
- Commuter assistance
Quick Apply
Dental Receptionist: Full time, Full Benefits!
Hillandale Smiles —Silver Spring, MD
- $20 - $25 an hour
- Full-time
- Dental office
- Military encouraged
- In-person
- Profit sharing
- Paid holidays
Quick Apply
1d
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
11d
Patient Service Representative
Prism Vision Group —Rockville, MD
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
Patient Representative I
Community Clinic Inc. —Silver Spring, MD
- $20 - $22 an hour
- Full-time
- CPR Certification
- Bachelor of Science
- High school diploma or GED
- Tuition reimbursement
- Paid time off
Quick Apply
Patient Services Representative
Shady Grove Fertility —Rockville, MD
- $20 - $23 an hour
- Urgently hiring
- High school diploma or GED
- Computer skills
- Medical terminology
- Paid parental leave
- Paid holidays
Quick Apply
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 (PRN | As Needed)
Children's National Hospital —Prince George's County, MD
- $20.75 - $40.99 an hour
- PRN
- Microsoft Excel
- Computer literacy
- HIPAA
11d

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

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Job Details

$24.13 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
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: $24.13 per hour plus $5.09 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 representative jobs in silver spring md

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Patient Coordinator/Front Desk

Dental Front Desk and Insurance Coordinator

Patient Services Specialist

Front Desk Receptionist

Front Desk/Scheduler

Call Center Representative

Surgical Scheduler

Bilingual Medical Receptionist (English/Spanish)

Clinic Operations Representative - PRN, Montgomery County (Mon - Fri, Day Shift)

Customer Service Associate Representative - Cigna Healthcare - Remote

Call Center Rep

Dental Receptionist: Full time, Full Benefits!

Access Call Center Representative

Patient Service Representative

Patient Representative I

Patient Services Representative

Patient Service Coordinator MHUC

Patient Access Representative (PRN | As Needed)

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