Note: The job is a remote job and is open to candidates in USA. Act for Health, Inc is seeking a Clinical Letter Writer to support clinical authorization processes. The role gathers and reviews medical records, researches diagnoses and treatment strategies, and prepares clinical documentation and medical-necessity letters for care authorization and recertification.
Responsibilities
- Researches diagnoses and treatment strategies related to client’s covered conditions and relates this information when writing correspondence regarding client authorizations, denials and changes in level of care
- Write draft letter of medical necessity for the purpose of authorization and recertification of client care
- Review authorization and recertification paperwork, as requested, and communicate with appropriate team members when clarification is needed
Skills
- Excellent research, writing, editing and oral communication skills
- Strong computer skills
- Ability to pay attention to various details and can quickly understand and translate those details into clinical documentation
- Ability to work independently as well as collaboratively as part of a team
- Licensed driver with clean driving record and insured in accordance with state and/or Agency requirements
- Registered Nurse with current State licensure preferred
- Minimum of two years of healthcare experience preferred
Company Overview