Documentation Specialist
About The Position
The Documentation Specialist at AdaptHealth ensures timely and accurate collection and management of patient documentation needed for compliant billing and a healthy revenue cycle. The role works with physician offices, insurance providers, and internal teams to resolve documentation barriers to care and payment. It includes reviewing clinical documentation, managing patient eligibility records and authorizations, reconciling documentation with outstanding charges, and supporting timely billing. The position also involves maintaining provider communication records, assisting with customer service inquiries when needed, and meeting productivity, quality, and attendance standards within a team-focused, continuous improvement culture. AdaptHealth provides full-service home medical equipment and related services that support patients at home. The company describes its commitments as including support, development, and advancement opportunities; competitive compensation and incentives; comprehensive rewards and benefits; industry-leading care and innovation; and responsible environmental stewardship.
Requirements
- High school diploma or equivalent work experience.
- One year of administrative experience, which may 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 while multitasking.
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 or recurring issues, and proactively escalate them and educate 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 AdaptHealth sales, support, and customer service teams to support timely billing.
- Maintain and update physician databases for accurate communication and document delivery.
- Provide backup support for customer service inquiries as needed.
- Meet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culture.
- Perform all 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
