Documentation Specialist

AdaptHealth•Sebring, FL

About The Position

As a Documentation Specialist at AdaptHealth, you help keep patient care moving forward by ensuring timely and accurate collection and management of patient documentation needed for compliant billing and a healthy revenue cycle. You collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment. The role also involves supporting customer service inquiries as needed, meeting productivity, quality, and attendance standards, and contributing to a team-focused culture of continuous improvement.

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 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 recurring documentation trends or issues, and 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 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 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.
  • Competitive compensation and incentives.
  • Support, development, and advancement opportunities.
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