Operations Support Specialist

WellSense Health Plan; United States; Remote; USD 35,000 - 55,000; Full time

Job summary

Join a forward-thinking health insurance company as an Administrative Operations Specialist. In this role, you will manage day-to-day administrative operations, ensuring smooth communication and data management across various lines of business. Your responsibilities will include triaging inquiries, maintaining accurate records, and supporting healthcare operations. This position offers the flexibility of full-time remote work, competitive salaries, and excellent benefits. If you are detail-oriented, possess strong communication skills, and have a passion for supporting healthcare services, this is the perfect opportunity for you to make a meaningful impact.

Benefits

Full-time remote work

Competitive salaries

Excellent benefits

Qualifications

• 1+ years of administrative experience with strong data entry skills.
• Detail-oriented with excellent communication abilities.

Responsibilities

• Manage voicemail and email inquiries, ensuring proper routing.
• Perform data entry and maintain accurate records.

Skills

Detail oriented

Strong oral and written communication skills

Typing skills

Education

High School diploma or equivalent

Associate’s Degree

Tools

Microsoft Office (Word/Excel/Outlook)

Job description

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 Administrative Operations Specialist for Service and Operations is responsible for day-to-day administrative operations supporting various lines of business. The specialist will be responsible for collecting and entering data and maintaining accurate records, triaging inquiries such as voicemails or emails and routing them to the appropriate line of business, entering and updating information into WellSense databases, and other administrative duties as assigned.

Our Investment in You:

1. Full-time remote work
2. Competitive salaries
3. Excellent benefits

Key Functions/Responsibilities:

The following key functions/responsibilities apply to this position:

1. Triaging voicemail messages and routing them to the appropriate business area
2. Assembling and mailing welcome letters to WellSense providers
3. Data entry of various sorts into WellSense systems and spreadsheets
4. Performing tasks related to returned mail
5. Merging documents to create PDFs and ensure correct storage
6. Triaging and replying to emails from the Community Partners program
7. Maintaining HIPAA standards and confidentiality of protected health information
8. Outbound calls to customers to verify and update information
9. Answer and route incoming calls courteously and professionally
10. Other duties as assigned

Supervision Exercised:

None

Supervision Received:

Direct supervision is received daily to weekly

Qualifications:

Education Required:

High School diploma or the equivalent combination of training and experience is required

Education Preferred:

Associate’s Degree is preferred

Experience Required:

One or more years of related data entry and/or administrative experience are required

Basic Microsoft Office (Word/Excel/Outlook) experience

Experience Preferred/Desirable:

Experience in healthcare operations is preferred

Required Licensure, Certification or Conditions of Employment:

Successful completion of pre-employment background check

Competencies, Skills, and Attributes:

1. Detail oriented: skill in filing, sorting, entering, and posting data
2. Strong oral and written communication skills
3. A strong working knowledge of Microsoft Office products
4. Detail oriented, excellent proofreading and editing skills
5. Typing skills: an average of 40 words per minute

Site:

WellSense Health Plan- Remote

Working Conditions and Physical Effort:

1. Ability to work OT during peak periods. (Non-Exempt Positions)
2. Regular and reliable attendance is an essential function of the position.
3. Work is normally performed in a typical interior/office work environment.
4. No or very limited physical effort required. No or very limited exposure to physical risk.

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.