Correspondence Coordinator WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances. Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294366) 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 Degreepreferred **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 officepreferred + Regular exposure to/use of medical terminologypreferred + Microsoft Excelpreferred **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 Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294366) **_Important info on employment offer scams:_** _According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm\_source=govdelivery) ._