Top 677 Patient services representative Jobs in Temple Hills Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Medical Receptionist
Beale Personnel, Inc. —Washington, DC
- $22 - $25 an hour
- Full-time
- Spanish
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Dental Front Office
Confidential —Bowie, MD
- $18 - $23 an hour
- Full-time
- Spanish
- Dental office
- Mid-level
- Health insurance
- Paid time off
Quick Apply
6d
Registrar/ Mobile Clinic Van Driver
Mobile Medical Care, Inc.- Montgomery County, MD —Silver Spring, MD
- From $21.50 an hour
- Full-time
- Background check
- Spanish
- Clean driving record
- Disability insurance
- Health insurance
Quick Apply
Front Desk Receptionist
EduCounsel LLC —Suitland, MD
- $19 - $22 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
Quick Apply
2d
Front Desk Agent
Greater Maryland Eye Physicians and Surgeons —Clinton, MD
- $16 - $20 an hour
- Full-time
- OSHA
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
7d
Remote Central Intake Coordinator
Emmett Healthcare —Washington, DC
- $80,168.39 - $90,000.00 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Case management
Quick Apply
5d
Front Desk Associate (Full-time) District Heights, MD
PM Pediatrics Management Group —District Heights, MD
- $17 - $28 an hour
- Full-time
- Sanitation
- HIPAA
- High school diploma or GED
Quick Apply
1d
Patient Service Representative
Greenstein Dental —Clinton, MD
- $23 - $29 an hour
- Full-time
- Dental office
- Cleaning
- In-person
- Dental insurance
- 401(k)
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
Patient Care Representative I
Health Prime International —National Harbor, MD
- Computer literacy
- HIPAA
- No experience needed
Quick Apply
Guest Services
Capitol City Rehabilitation and Nursing —Washington, DC
- $20 an hour
- Full-time
- Skilled nursing facility
- Sales
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
1d
Admitting Registrar (PRN 2:30pm-11pm)
MedStar Health —Clinton, MD
- $18.70 - $32.72 an hour
- Weekends as needed
- Hospital
- HIPAA
- English
SCHEDULING CLERK/COORD - Surgical Services
Cedar Hill Regional Medical Center —Washington, DC
- $18.51 - $26.84 an hour
- Full-time
- Surgery
- Hospital
- Computer literacy
- Free parking
- Health insurance
13h
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
Patient Service Representative
Greater Baden Medical —Oxon Hill, MD
- Full-time
- 5 years
- Office
- High school diploma or GED
Quick Apply
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 Coordinator
Fenton Family Dental Clinton —Clinton, MD
- Full-time
- Data entry
- Entry level
- Health insurance
- Flexible schedule
Quick Apply
Senior Patient Access Representative
Children's National Hospital —Prince George's County, MD
- $21.17 - $42.35 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Inpatient
- Commuter assistance
- AD&D insurance

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Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

Job Details

$24.13 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: $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 temple hills md

Referral Management (Non-Nurse) Reviewer

Medical Receptionist

Referral Management (Non-Nurse) Reviewer

Dental Front Office

Registrar/ Mobile Clinic Van Driver

Front Desk Receptionist

Front Desk Agent

Remote Central Intake Coordinator

Front Desk Associate (Full-time) District Heights, MD

Patient Service Representative

Patient Access Representative

Patient Care Representative I

Guest Services

Admitting Registrar (PRN 2:30pm-11pm)

SCHEDULING CLERK/COORD - Surgical Services

Patient Access Representative (PRN | As Needed)

Patient Service Representative

Unit Clerk

Patient Coordinator

Senior Patient Access Representative

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