Documentation Specialist

AdaptHealth • Gulfport, MS

5d

About The Position

The Documentation Specialist supports patient care and the revenue cycle by ensuring timely, accurate collection and management of patient documentation required for compliant billing. The role works with physician offices, insurance providers, and internal teams to resolve documentation barriers and support timely care and payment. Responsibilities include validating clinical records for payer compliance and billing readiness, managing eligibility documents and prior authorizations, reconciling documentation with outstanding charges, and identifying recurring documentation issues. The specialist also maintains physician communication records, supports customer service inquiries as needed, and meets productivity, quality, and attendance standards in a fast-paced, team-focused environment.

Requirements

• High school diploma or equivalent work experience.
• One year of administrative experience; examples include 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, labs, and prior authorizations.
• Resolve pending revenue by reconciling documentation with outstanding charges.
• Request and track prior authorizations, including coordinating with state Medicaid programs.
• Identify documentation trends or recurring issues and escalate them, while educating 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 coverage
• Dental coverage
• Vision coverage
• 401(k) with company match
• Paid time off
• 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)
• Health Savings Accounts (HSA)
• CVS Minute Clinic and Teledoc access
• Spousal Advantage Reimbursement Plan
• Identity theft protection
• Legal plan

What This Job Offers

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