Documentation Specialist

AdaptHealth, LLC • Gulfport, MS

10h

About The Position

AdaptHealth provides home medical equipment and related services that support patients at home. The Documentation Specialist helps keep patient care moving forward by collecting, reviewing, and managing patient documentation needed for payer compliance, billing readiness, and a healthy revenue cycle. The role works with physician offices, insurance providers, and internal teams to resolve documentation barriers and support timely billing and payment.

Requirements

• High school diploma or equivalent work experience.
• One year of administrative experience, such as insurance, billing, claims, call center, or financial services.
• Strong problem-solving skills and attention to detail.
• Strong verbal and written communication skills.
• Excellent customer service skills.
• Proficient computer and system skills.
• Ability to work in a fast-paced environment and multitask.

Responsibilities

• Review, analyze, and validate clinical documentation for payer compliance and billing readiness.
• Collect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, laboratory results, and prior authorizations.
• Resolve pending revenue by reconciling documentation with outstanding charges.
• Request and track prior authorizations, including coordination with state Medicaid programs.
• Identify documentation trends and recurring issues, and escalate them and provide education to internal teams and provider offices.
• Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance regulations.
• Generate and manage electronic documentation requests to physicians and insurance companies.
• Communicate with physician offices and payers to obtain missing or incomplete documentation.
• Collaborate with sales, support, and customer service teams to support timely billing.
• Maintain and update physician databases to ensure accurate communication and document delivery.
• Provide backup support for customer service inquiries as needed.
• Meet productivity, quality, and attendance standards and contribute to a team-focused, continuous improvement culture.
• Perform other duties as assigned.

Benefits

• Comprehensive medical, dental, and vision coverage, eligible the first of the month following hire.
• 401(k) with company match.
• Paid time off plans, including six paid holidays.
• Employee Stock Purchase Plan.
• Paid parental bonding leave.
• Short- and long-term disability insurance.
• Life and AD&D insurance.
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).
• CVS Minute Clinic and Teledoc access.
• Spousal Advantage Reimbursement Plan.
• Identity Theft Protection and Legal Plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED