Top 776 Patient services representative Jobs in Washington Dc

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Medical Receptionist (180)
Loudoun Medical Group —Fairfax, VA
- $20 - $23 an hour
- Full-time
- Bilingual
- Mid-level
- US work authorization
- Free parking
- Paid jury duty
Quick Apply
3d
Dental Front Desk Receptionist (Full Time)
Tiny Tooth Pediatric Dentistry —Columbia, MD
- $20 - $28 an hour
- Full-time
- Dental office
- HIPAA
- US work authorization
- Profit sharing
- Paid holidays
Quick Apply
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
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
14d
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
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 Service Coordinator
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- BLS Certification
- Urgent Care
- High school diploma or GED
Patient Registration Associate
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
15h
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
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 MHUC
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Full-time
- Urgent Care
- High school diploma or GED
- Computer skills
9d
Registration Admission Rep I (PRN)
MedStar Health —Washington, DC
- $22.22 - $33.79 an hour
- PRN
- Hospital
- Word processing
- Computer literacy
8d
Clinic Operations Representative - Ambulatory Center Services
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- In person
- Microsoft Excel
- HIPAA
- High school diploma or GED
- Commuter assistance
- AD&D insurance
ER Medstar Service Associate
MedStar Health —Washington, DC
- $22.21 - $33.79 an hour
- Weekends as needed
- Word processing
- Computer literacy
- Basic math
1d
Patient Care Representative - OB/GYN Arlington
VHC Health —Arlington, VA
- Full-time
- High school diploma or GED
- Ob/Gyn
- Entry level
- Health insurance
- Dental 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 washington dc

Referral Management (Non-Nurse) Reviewer

Referral Management (Non-Nurse) Reviewer

Medical Receptionist (180)

Dental Front Desk Receptionist (Full Time)

Full time dental front desk receptionist

Patient Access Representative

Patient Service Associate (Perioperative Services)

Patient Care Coordinator

Clinic Operations Representative

Patient Access Rep- 8 hours weekly- Weekend

Patient Service Coordinator

Patient Registration Associate

Registration Admission Rep I

Patient Services Representative I

Patient Care Representative

Patient Service Coordinator MHUC

Registration Admission Rep I (PRN)

Clinic Operations Representative - Ambulatory Center Services

ER Medstar Service Associate

Patient Care Representative - OB/GYN Arlington

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