Correspondence Coordinator

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It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

Job Summary

The Correspondence Coordinator is responsible for completing member and provider notification letters for the Utilization Management (UM) department within mandated timeframes and established quality parameters. Maintains strict confidentiality.

Our Investment In You

• Full-time remote work
• Competitive salaries
• Excellent benefits
  
  

Key Functions/Responsibilities

• Gathers information from the clinical documentation system and the clinical staff who have reviewed a case.
• Organizes the information into messages appropriate for member receipt and for provider receipt.
• Initiates follow up with clinical staff when clarification is required.
• Identifies the appropriate letter template and transcribes information from the messages onto the template.
• Generates final letter(s) and mails or transmits electronically, as appropriate.
• Maintains mandated timeframes and quality standards.
• Collaborates with supervisor to identify and implement process improvements.
• Provides excellent customer service.
• Other duties as assigned.
  
  

Qualifications

Education:

• High school diploma or equivalent
• AS Degree preferred
  
  

Experience

• At least 1 year of general clerical experience
• At least 1 year generating professional correspondence using Microsoft Word
• At least 1 year in a health insurance or medical office preferred
• Regular exposure to/use of medical terminology preferred
• Microsoft Excel preferred
  
  

Competencies, Skills, And Attributes

• A willingness to learn, follow directions and work compatibly with others
• Ability to prioritize work
• Strong oral and written communication skills
• Detail oriented with excellent proof reading, data entry and editing skills
• Skill in operating/using standard office machines/equipment
  
  

Working Conditions And Physical Effort

• Regular and reliable attendance is an essential function of the position
• Work is normally performed in a typical interior/office work environment
• No or very limited physical effort required; no or very limited exposure to physical risk
• Ability to work OT during peak periods
  
  

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

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