Documentation Specialist

Description AdaptHealth Opportunity – Apply Today! About Adapt Health At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond the hospital and at home. With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care. If you’re passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth. The Adapt Difference Commitment to Our People – Support, Development, and Advancement OpportunitiesCompetitive Compensation and IncentivesComprehensive Total Rewards & BenefitsIndustry-Leading Care & InnovationResponsible Environmental Stewardship About The Role Documentation Specialist As a Documentation Specialist at AdaptHealth, you play a key role in keeping patient care moving forward. You’ll ensure the timely, accurate collection and management of patient documentation needed for compliant billing and a healthy revenue cycle. You’ll collaborate closely with physician offices, insurance providers, and internal teams to remove barriers to care and payment. Core Responsibilities Review, analyze, and validate clinical documentation to ensure payer compliance and billing readinessCollect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizationsResolve pending revenue by reconciling documentation with outstanding chargesRequest and track prior authorizations, including coordination with state Medicaid programsIdentify documentation trends or recurring issues and proactively escalate and educate internal teams and provider officesEnsure compliance with Medicare, Medicaid, HIPAA, and private insurance regulationsGenerate and manage electronic documentation requests to physicians and insurance companiesCommunicate with physician offices and payers to obtain missing or incomplete documentationCollaborate with AdaptHealth sales, support, and customer service teams to support timely billingMaintain and update physician databases to ensure accurate communication and document deliveryServe as backup support for customer service inquiries as neededMeet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culturePerform all other duties as assigned Why You're the Best Fit High School Diploma or equivalent work experience requiredOne (1) year of administrative experience. Types of administrative experience include but are not limited to insurance, billing, claims, call center, or financial servicesStrong problem-solving skills with attention to detailStrong verbal and written communicationExcellent customer service skillsProficient computer and system skills Ability to work in a fast-paced environment inclusive of multi-tasking Work Environment Physical Requirements: Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential function of the job. Reasonable accommodations may be made to enable individuals with disability(s) to perform the essential functions. For more detail surrounding these requirements please inquire upon application selection. Compensation Compensation is based on experience, location and role level Total Rewards & Benefits Program Comprehensive medical, dental and vision coverage (eligible first of the month following hire)401(k) with company matchPaid Time Off Plans including 6 paid holidaysEmployee Stock Purchase PlanPaid Parental Bonding LeaveShort and Long-term Disability InsuranceLife and AD&D InsuranceFlexible Spending Accounts (FSA) and Health Savings Accounts (HSA)CVS Minute Clinic and Teledoc accessSpousal Advantage Reimbursement PlanIdentity Theft Protection and Legal Plan Requirements Disclosure Company conducted Background Check is required for all rolesCompany conducted Motor Vehicle Record Check is required for all driving rolesClinical roles require valid licensure/certification, where applicable In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: Home Medical Device Retail Program. AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination. Ready to Make an Impact? If you're passionate about and committed to changing lives, we want to hear from you. Apply today and take the next step in your career with AdaptHealth!