Documentation Specialist

Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance prior to service delivery Communicate with patients regarding financial responsibility, collect payments when applicable, and document interactions accurately Contact patients when documentation does not meet payer requirements, providing updates and alternative options to support timely care Work with referral sources, physicians, and clinical teams to obtain complete and compliant documentation Apply expert knowledge of payer requirements to ensure appropriate and compliant service delivery Maintain accurate, timely patient information and communications in electronic systems Enter referrals within established timeframes while meeting productivity and quality standards Coordinate with leadership to ensure appropriate inventory and services are selected and scheduled Collaborate with sales, insurance verification, and internal support teams to facilitate referral and intake processes Navigate multiple EMR and online systems to obtain and manage documentation Ensure appropriate shipping and delivery methods are selected according to company procedures Answer incoming calls promptly and provide professional assistance to patients and referral sources Participate in on-call rotation during non-business hours according to company policy Follow company policies and procedures to support team operations and quality standards Perform other related duties as assigned Requirements One (1) year of relatable work experience required High School Diploma, Associate’s degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is a plus but not required Excellent verbal and written communication skills including analytical, problem-solving and decision-making abilities with attention to detail Ability to multi-task in a fast paced environment Proficient computer skills – Microsoft Office and healthcare systems are a plus Comfort learning new technologies and navigating multiple systems Ability to work independently while following established procedures and directives Company conducted Background Check is required for all roles Company conducted Motor Vehicle Record Check is required for all driving roles Core Competencies Demonstrates expertise in reviewing medical records and clinical documentation to ensure patient eligibility and compliance, while effectively communicating with patients and coordinating with healthcare teams. Proficient in navigating electronic medical records and maintaining accurate patient information. Highest-signal resume keywords Medical Record Review Patient Communication Payer Requirements Knowledge Electronic Medical Record Navigation Healthcare Administration Hard Skills Patient Eligibility Determination Documentation Compliance Payment Collection Referral Coordination Insurance Verification Soft Skills Excellent Verbal Communication Analytical Problem-Solving Attention to Detail Multi-Tasking Ability Decision-Making Skills Industry Keywords Healthcare Administration Medical Supply HME Medicare-Certified Environment Customer Service Tools & Technologies Microsoft Office Healthcare Systems Electronic Medical Records #J-18808-Ljbffr