Healthcare Documentation & Billing Specialist

AdaptHealth LLC; Gulfport (MS); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401(k) with company match

PTO including 6 holidays

Employee Stock Purchase Plan

Paid parental bonding leave

Short/Long-term disability insurance

Life and AD&D insurance

FSAs & HSAs

CVS Minute Clinic & Teledoc access

Spousal advantage reimbursement plan

Identity theft protection

Job summary

AdaptHealth LLC is seeking a Documentation Specialist to ensure accurate collection and management of patient documentation for compliant billing and a healthy revenue cycle. You’ll collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment.

Responsibilities include reviewing clinical documentation for payer compliance, managing eligibility documents, obtaining prior authorizations, and supporting timely billing while maintaining HIPAA and

Qualifications

• 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

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 elevate 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

Skills

Strong problem-solving

Verbal and written communication

Customer service skills

Computer & systems skills

Multitasking in fast-paced env

Education

High school diploma or equivalent

1 year administrative experience

Job description

AdaptHealth LLC is seeking a Documentation Specialist to ensure accurate collection and management of patient documentation for compliant billing and a healthy revenue cycle. You’ll collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment.

Responsibilities include reviewing clinical documentation for payer compliance, managing eligibility documents, obtaining prior authorizations, and supporting timely billing while maintaining HIPAA and