Documentation Specialist - NE Florida

Pinnacle CareerJacksonville, FL
Onsite

About The Position

Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, is seeking a Documentation Management Specialist to join their award-winning team. This role is crucial in ensuring the accuracy and timely processing of patient referrals and documentation, contributing to the delivery of high-quality, patient-centered care at home. The specialist will work closely with Care Coordinators, physicians, facilities, and internal departments to manage and resolve outstanding documentation, ensuring compliance with regulations and agency standards.

Requirements

  • High school diploma or equivalent.
  • Previous experience working with an EMR system.
  • Excellent communication, organizational, and time management skills.
  • Advanced typing and computer skills (MS Office).
  • Ability to multitask across multiple software systems while maintaining data integrity.
  • Excels in a deadline-driven environment.
  • Ability to remain productive when faced with high workloads and deadlines.

Responsibilities

  • Monitor new referrals throughout the day to ensure accuracy and that Starts of Care (SOC) are processing according to the order.
  • Review referrals processed overnight to ensure all information is correct in relation to attending and/or signing MD and facility.
  • Review the EOD Report daily for assigned branches and the Care Coordinator (CC) team to ensure all referral documents are received and completed and that assignments are correct.
  • Travel with CCs to referral partner offices to develop relationships, learn account referral patterns, and determine preferred delivery methods.
  • Update and manage delivery methods in the system as necessary.
  • Travel regularly in the field to referral partner offices to obtain signatures for current or outstanding orders.
  • Work with referral partners to obtain outstanding paperwork when a CC is no longer with the agency or at the branch.
  • Monitor physician information on the profile page, and research and correct any errors.
  • Submit Smartsheet for changes to CC’s assigned referral sources or other information requiring updates.
  • Document daily work performed to obtain current or outstanding orders by date, action, and follow-up date.
  • Follow-up on the previous week’s activity.
  • Assist with the escalation of orders by working with the home office, referral partner, and CC.
  • Participate in meetings to discuss and provide updates on outstanding F2F, hand carry, orders, escalations, and communicate plans to obtain missing documents.
  • Print and prepare orders for each CC and discuss a plan for obtaining signatures on a weekly basis.
  • Be available to send outstanding orders/F2F/hand carry orders to the CC if they are in a referral sources office and will obtain signature during that visit.
  • Run F2F and orders reports on a weekly basis and work with CC to ensure orders are complete within 14 days or as appropriate.
  • Review potential write-off accounts with RDS to determine a plan for resolution or submission for write-off.
  • Communicate professionally with all departments to resolve outstanding orders.
  • Respond promptly to all inquiries with a resolution to concerns and/or discrepancies in a timely manner.
  • Comply with HIPAA regulations on all accounts.

Benefits

  • Competitive Benefits & Perks
  • Employee referral program
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