Documentation Specialist

Documentation Specialist

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.

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 include:

• 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

Why you're the best fit:

• 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

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 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

Requirements disclosure:

• 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

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!