Documentation Specialist

Description

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.

• Commitment to Our People – Support, Development, and Advancement Opportunities
• Competitive Compensation and Incentives
• Comprehensive Total Rewards & Benefits
• Industry-Leading Care & Innovation
• Responsible Environmental Stewardship

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.

• →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

• High School Diploma or equivalent work experience required
• One (1) year of administrative experience. Types of administrative experience include but are not limited to insurance, billing, claims, call center, or financial services
• Strong problem-solving skills with attention to detail
• Strong verbal and written communication
• Excellent customer service skills
• Proficient computer and system skills 
• Ability to work in a fast-paced environment inclusive of multi-tasking

• 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.

• Company conducted Background Check is required for all roles
• Company conducted Motor Vehicle Record Check is required for all driving roles
• Clinical roles require valid licensure/certification, where applicable