Medicare Documentation Specialist

Owens & Minor • Downers Grove, IL

1d • Hybrid

About The Position

At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™. This position is Hybrid and will require some in office days.

Requirements

• Experience reviewing medical records, chart notes, or clinical documentation (Medicare, insurance, or eligibility review experience preferred)
• Strong understanding of medical documentation standards and regulatory guidelines (Medicare experience strongly preferred)
• Excellent attention to detail and ability to interpret nuanced clinical information
• Comfortable making outbound phone calls to clinics and having professional, sometimes corrective, conversations
• Strong communication and collaboration skills with both external partners and internal teams
• Ability to work independently, manage multiple cases, and meet deadlines in a structured environment
• Proficiency with electronic medical records (EMRs) and internal case management systems
• Experience working remote roles that require 8 hours of dedication

Nice To Haves

• Background in healthcare administration, nursing, coding, compliance, or utilization review
• Experience working cross-functionally with sales or business development teams
• Knowledge of audit, quality assurance, or compliance workflows
• Experience working with Microsoft Office tools such as Excel, Word, and Teams

Responsibilities

• Review and analyze patient chart notes and supporting documentation to assess eligibility in compliance with Medicare guidelines and company policies
• Accurately classify cases as eligible, ineligible, or unable to determine due to missing or unclear information
• Identify documentation gaps and proactively contact clinics via phone to clarify or obtain required information
• Communicate eligibility outcomes and documentation needs clearly and professionally to clinic staff
• Partner closely with internal sales representatives to provide timely updates, clarify requirements, and support case progression
• Maintain detailed, accurate records of reviews, outreach efforts, and determinations in internal systems
• Stay current on Medicare guidelines and internal processes; apply updates consistently in daily work
• Meet productivity, quality, and compliance expectations while maintaining a high level of accuracy
• Escalate complex or unclear cases appropriately and contribute to continuous process improvement

Benefits

• Medical, dental, and vision care coverage
• Paid time off plan
• 401(k) Plan
• Flexible Spending Accounts
• Basic life insurance
• Short- and long-term disability coverage
• Accident insurance
• Teammate Assistance Program
• Paid parental leave
• Domestic partner benefits
• Mental, physical, and financial well-being programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed