Correspondence Specialist

Title: Correspondence Specialist - Hybrid - Roseville, California

Location:  Roseville, CA, US, 95747-6645

Req ID:  32236

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a Correspondence Specialist is responsible for but is not limited to, researching, and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, etc. and determining appropriate paths to follow, creating supporting documentation, processing claims/TARs on final determinations, and extensive communication with members, providers, and additional internal and external customers

Your role in our mission

• Member and Provider Correspondence entry, including but not limited to member and provider information and case documentation into the Customer Relationship Management System (CRM) and California Dental – Medicaid Management Information System (CD-MMIS) daily.
• General tracking and updates for all correspondence related to member and provider correspondence. Production tracking in Excel spreadsheets and CRM for reporting purposes.
• Review correspondence and prepare correspondence responses for member and provider correspondence. Verify information and submit documents for mailing.
• Document retrieval, queue monitoring and distribution of incoming member and provider correspondence.
• Provide clerical support and cross-training to support other clerk positions within the work unit. Document pick-up and delivery, mailing of physical documents

What we're looking for

• Strong Communication (oral and written).
• Strong typing and word-processing skills are a must.
• Excellent organizational skills needed.
• Problem-solving, basic math, and computer skills needed.
• Ability to navigate through several work systems simultaneously required. Basic Microsoft Word and Excel experience preferred. Basic computer knowledge required.

What you should expect in this role

• Must be a resident of the state of California.
• Full-time, hourly position. 8:00AM-5:00PM 
• Hybrid,  The office is located in the Roseville/Sacramento area

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The pay range for this position is $46,800.00 - $66,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. 

 

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