Documentation Specialist
AdaptHealth · United States · 6 days ago
RemoteRemoteAdministrativeFull-time
About the role
The AdaptHealth Documentation Specialist plays a key role in ensuring the timely and accurate collection and management of patient documentation needed for compliant billing and a healthy revenue cycle. They collaborate closely with physician offices, insurance providers, and internal teams to remove barriers to care and payment.
Responsibilities
- Review, analyze, and validate clinical documentation to ensure 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 coordination with state Medicaid programs
- Identify documentation trends or recurring issues and proactively escalate 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
- Serve as 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
Qualifications
- A High School Diploma or equivalent work experience required
- One (1) year of administrative experience, such as insurance, billing, claims, call center, or financial services
- Strong problem-solving skills with 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 inclusive of multi-tasking
Benefits
- Total Rewards & Benefits Program includes comprehensive medical, dental, and vision coverage (eligible first of the month following hire)
- 401(k) with company match
- Paid Time Off Plans including 6 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
Compensation
Compensation is based on experience, location, and role level.