Medical Necessity Writer

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah.
If you’re a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most.
As a Medical Necessity Writer, you’ll help ensure patients receive the right level of home health care. You’ll review medical records, research clinical data, and write persuasive letters to support care decisions—whether it’s starting, continuing, or increasing services.  
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 
Are detail-oriented and organized 
Can communicate clearly and professionally 
Enjoy working independently and collaboratively 
 
Job requirements:  
Healthcare experience preferred 
Experience with MS Office products required 
Key competencies include communication both written and verbal, analytical thinking, detail oriented, teamwork and organization 

Responsibilities

• Create medical and legal documentation with accuracy and a focus on fostering positive relationships with healthcare professionals and other stakeholders.
• Efficiently manage a high volume of claims on a weekly basis.
• Provide continuous support by reviewing patient records and identifying additional health issues to maximize benefits.
• Maintain high standards to build and sustain patient trust.
• Clearly communicate to ensure that patient expectations are aligned with what is realistically achievable.
• Apply technical skills to secure prompt and successful claim approvals.
• Foster patient satisfaction and engagement through effective communication and consistent support.
• Build and maintain strong collaborative relationships with stakeholders. 

Qualifications

• 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!

To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.
If you’re ready to be part of an organization that truly makes a difference in people’s lives