Top 793 Patient services representative Jobs in Washington Dc

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Surgical Scheduler/Spanish required
Beale Personnel, Inc. —Washington, DC
- $25 - $30 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
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/Treatment & Patient Financial Coordinator-Dental Specialty Practice
Confidential —Bethesda, MD
- $30 - $35 an hour
- Full-time
- Background check
- Dental office
- 5 years
- Health insurance
- 401(k)
Quick Apply
10d
Medical Practice Representative I- Orthopaedics
Faculty Physicians Inc. —Laurel, MD
- $15.14 - $22.74 an hour
- Computer literacy
- High school diploma or GED
- 1 year
Quick Apply
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 Service Associate (Perioperative Services)
MedStar Health —Washington, DC
- $20.57 - $36.27 an hour
- Full-time
- Hospital
- High school diploma or GED
- Perioperative Care
13d
Patient Care Coordinator
District Orthodontics —Washington, DC
- $27 - $30 an hour
- Full-time
- Dental office
- Inventory management
- Administrative experience
Clinic Operations Representative
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
Front Desk Adminstrator
The Centers for Advanced Orthopaedics LL —Bethesda, MD
- English
- Mid-level
- Administrative experience
Quick Apply
9d
Front Office II
McLean Oral & Facial Surgery —McLean, VA
- $22 - $27 an hour
- 8 hour shift
- Background check
- Dental office
- Surgery
- Health savings account
- Health insurance
Quick Apply
Bilingual Medical Receptionist (English/Spanish)
APT Healthcare —Silver Spring, MD
- $20 - $22 an hour
- Full-time
- Background check
- Spanish
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Experienced Medical Receptionist/Front Desk
Alan Pollack, MD —Alexandria, VA
- $20 - $21 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
1d
Full time dental front desk receptionist
Multi-specialty Dentists —Silver Spring, MD
- $17 - $20 an hour
- Email
- Spanish
- Dental office
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
Dental Front Desk (Full Time)
McLean Family Dentistry —McLean, VA
- From $21 an hour
- Full-time
- Dental office
- Administrative experience
- In-person
- Paid holidays
- Health insurance
Quick Apply
Patient Access Rep- 8 hours weekly- Weekend
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Part-time
- Microsoft Excel
- Computer literacy
- HIPAA
Patient Care Representative
VHC Health —Arlington, VA
- $17.42 - $26.82 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Patient Service Coordinator
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED
14d
Registration Admission Rep I
MedStar Health —Washington, DC
- $22.21 - $33.79 an hour
- Full-time
- Hospital
- Word processing
- Computer literacy
Patient Services Representative I
Savista, LLC —Washington, DC
- $21 - $23 an hour
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
Quick Apply

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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
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 representative jobs in washington dc

Referral Management (Non-Nurse) Reviewer

Surgical Scheduler/Spanish required

Referral Management (Non-Nurse) Reviewer

Front Desk Coordinator/Treatment & Patient Financial Coordinator-Dental Specialty Practice

Medical Practice Representative I- Orthopaedics

Patient Access Representative

Patient Service Associate (Perioperative Services)

Patient Care Coordinator

Clinic Operations Representative

Front Desk Adminstrator

Front Office II

Bilingual Medical Receptionist (English/Spanish)

Experienced Medical Receptionist/Front Desk

Full time dental front desk receptionist

Dental Front Desk (Full Time)

Patient Access Rep- 8 hours weekly- Weekend

Patient Care Representative

Patient Service Coordinator

Registration Admission Rep I

Patient Services Representative I

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