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.

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

Schedule: Tuesday through Saturday 9:00 AM - 5:30 PM

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 440,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

• WellSense will require proof of COVID-19 vaccination(s) as a term of employment for all employees. The company may make exceptions to this requirement in certain limited circumstances for religious or medical purposes.