Intake & Referrals Coordinator (Non-Clinical)

Community Health Network of Connecticut, Inc

Wallingford (CT)

On-site

USD 42,000 - 52,000

Full time

7 days ago
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Benefits offered by this job

Medical, dental and vision coverage
401(k) with company-match
Tuition reimbursement and continuing教育
Generous paid-leave bank
Wellness program

Job summary

Community Health Network of Connecticut, Inc. (CHNCT) is seeking a Non-Clinical Intake Representative for a full-time temporary assignment in Wallingford, CT.

You will triage calls, enter referrals, verify eligibility, and forward complex cases to clinical staff. The role also involves supporting provider appeals, reviewing referrals for completeness, ensuring Medicaid benefits knowledge, and maintaining confidentiality of member records.

Qualifications

  • High school diploma or GED required or equivalent.
  • 1–3 years of related experience preferred.
  • Claims processing background and medical terminology knowledge required.

Responsibilities

  • Triage incoming calls and enter referrals into the Utilization Management Unit.
  • Verify eligibility, verify provider in network, and assist with admissions entry.
  • Process authorizations and benefit coverage requests from providers.
  • Support claim-related provider appeals.
  • Maintain confidentiality of member records.

Skills

Claims processing
Interpersonal communication
Telephone communication
Medical terminology
ICD9/CPT coding
Data entry
Word processing

Education

High school diploma or GED
Secondary schooling

Job description

Community Health Network of Connecticut, Inc. (CHNCT) is seeking a Non-Clinical Intake Representative for a full-time temporary assignment in Wallingford, CT.

You will triage calls, enter referrals, verify eligibility, and forward complex cases to clinical staff. The role also involves supporting provider appeals, reviewing referrals for completeness, ensuring Medicaid benefits knowledge, and maintaining confidentiality of member records.

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