Documentation Specialist

About the role

The AdaptHealth Documentation Specialist plays a key role in ensuring timely and accurate patient documentation for compliant billing and a healthy revenue cycle. Key responsibilities include reviewing and validating clinical documentation, managing patient eligibility documents, resolving pending revenue, and collaborating with various internal and external teams.

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

Requirements

• High school diploma or equivalent work experience
• One (1) year of administrative experience, including insurance, billing, claims, call center, or financial services
• Strong problem-solving skills with attention to detail
• Excellent verbal and written communication skills
• Proficient computer and system skills
• Ability to work in a fast-paced environment inclusive of multi-tasking

Qualifications

• High school diploma or equivalent work experience
• One (1) year of administrative experience, including insurance, billing, claims, call center, or financial services

Skills

• Strong problem-solving skills with attention to detail
• Excellent verbal and written communication skills
• Proficient computer and system skills
• Ability to work in a fast-paced environment inclusive of multi-tasking

Benefits

• Comprehensive medical, dental, and vision coverage
• 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

Pay

Compensation is based on experience, location, and role level.

Schedule

Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.