Medical Necessity Writer

Role Overview

• 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!