Documentation Specialist

AdaptHealth; Fayetteville (AR); On-site; USD 36,000 - 52,000; Full time

Job summary

AdaptHealth is seeking a Documentation Specialist to review and validate clinical documentation for payer readiness and billing accuracy.

The role involves collecting patient eligibility documents, coordinating prior authorizations, and ensuring HIPAA/compliance across Medicare, Medicaid, and private insurers. Strong communication and detail orientation are essential.

Qualifications

• High School Diploma or equivalent work experience.
• 1 year of administrative experience in insurance, billing, claims, or similar.
• Strong problem-solving and attention to detail.
• Excellent written and verbal communication.

Responsibilities

• Review, analyze, and validate clinical documentation for payer readiness.
• Collect and manage patient eligibility documents.
• Resolve revenue by reconciling documentation with charges.
• Coordinate prior authorizations with state Medicaid programs.
• Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance.
• Generate and manage electronic documentation requests to physicians and insurers.
• Collaborate with sales, support, and customer service teams to support timely billing.
• Maintain physician databases and document delivery.
• Provide backup support for customer service inquiries.

Skills

Administrative experience

Billing & claims processing

Payer compliance

HIPAA knowledge

Communication skills

MS Office proficiency

Education

High School Diploma or equivalent

Job description

About Adapt Health

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.

Job Type

Full-time

Description

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 are passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.

The Adapt Difference

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

About The Role

Documentation Specialist

Core 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 escal...
• 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

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 rolesClinical roles require valid licensure/certification, where applicable

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com

In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: Home Medical Device Retail Program.

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.