Medical Necessity Writer ensuring patients receive the right level of home health care. Collaborating with healthcare providers and writing medical necessity letters based on clinical data.
Responsibilities
Ensure patients receive the right level of home health care
Review medical records, research clinical data, and write persuasive letters to support care decisions
Analyze patient medical records, treatment plans, and assessments
Research journal articles related to covered diagnoses and exposures
Write clear, concise letters of medical necessity
Ensure all relevant covered conditions are included
Collaborate with healthcare providers and team members
Monitor patient progress and assess care needs
Think creatively to justify continuation or increase in care
Submit timely renewal/increase requests with supporting documentation
Maintain organized records of research, correspondence, and documentation
Have strong writing and analytical skills
Be detail-oriented and organized
Communicate clearly and professionally
Enjoy working independently and collaboratively
Requirements
Healthcare experience preferred
Experience with MS Office products required
Bachelor’s degree in Healthcare Administration, Biology, Nursing, Epidemiology, Public Health or related field preferred.
A minimum of 2 years of experience in a healthcare setting is required, preferably in coordinating and managing patient documentation, medical writing, medical terminology, or in a healthcare administration role.
Familiarity with healthcare programs and benefits, particularly the Department of Energy Employees Occupational Illness Compensation (DEEOIC) program, is preferred.
Proficiency in Microsoft Office Suite and other relevant software is required.
Benefits
Hybrid work environment (after introductory period)
Company holidays, floating holiday, and birthday holiday
$100 monthly cellphone reimbursement
$150 Lifestyle Reimbursement annually (may be for gym/fitness memberships, Costco/Sam’s Club memberships, Amazon Prime memberships, and more)
Modern Health mental wellness platform to access personalized mental healthcare for you and your dependents
Tuition Reimbursement Program
Employee Assistance Program
Employee Appreciation Program
Company Provided Snacks & Drinks Daily in Office Kitchen
Vacation (PTO) and Sick Days
Competitive benefit plans
Company paid STD and LTD
401(k) with matching
Being a part of a growing company!
Working with incredible patients and their families!
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