Documentation Specialist

About the role

The 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

Requirements

• A High School Diploma or equivalent work experience
• One (1) year of administrative experience, including but not limited to 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
• One (1) year of administrative experience

Skills

• Strong problem-solving skills
• Attention to detail
• Verbal and written communication skills
• Computer and system proficiency
• Ability to work in a fast-paced environment

Benefits

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

Pay

$20-$23/hour

Schedule

N/A