Documentation Specialist

AdaptHealth LLC; United States; Remote; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Employee Stock Purchase Plan

Disability Insurance

Life Insurance

Job summary

AdaptHealth LLC is seeking a Documentation Specialist to ensure timely, accurate collection and management of patient documentation for compliant billing and a healthy revenue cycle.

You will collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment, maintaining compliance with Medicare, Medicaid, HIPAA, and private insurers.

Qualifications

• Minimum one year of administrative experience in insurance, billing, claims, call center, or financial services.
• Strong problem-solving skills with attention to detail.
• Proficient computer and system skills; ability to multitask in a fast-paced environment.

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 educate internal teams and provider offices.

Skills

Administrative experience

Attention to detail

Problem solving

Proficient computer skills

Multitasking

Education

High School Diploma or equivalent

Job description

The Adapt Difference

• Commitment to Our People – Support, Development, and Advancement Opportunities
• Competitive Compensation and Incentives
• Industry-Leading Care & Innovation

About the Role

Documentation Specialist

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

• 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
• 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.

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
• Employee Stock Purchase Plan
• 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
• 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

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.