Healthcare Documentation & Billing Specialist

AdaptHealth, LLC

United States

On-site

USD 22,000 - 28,000

Full time

34 hours ago
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Benefits offered by this job

Medical, dental and vision coverage
401(k) with company match
Paid Time Off with holidays
Employee Stock Purchase Plan
Paid Parental Bonding Leave
Short and Long-term Disability
Life and AD&D Insurance
FSA/HSA
Telemedicine access
Identity Theft Protection
Legal Plan

Job summary

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

In this role you will collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment, while maintaining HIPAA and payer requirements. A fast-paced, detail-oriented environment is expected.

Qualifications

  • One year of administrative experience required.
  • 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 upscale 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

Administrative experience
Attention to detail
Verbal and written communication
Customer service
Computer skills
Multi-tasking

Education

High School Diploma or equivalent

Job description

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

In this role you will collaborate with physician offices, insurance providers, and internal teams to remove barriers to care and payment, while maintaining HIPAA and payer requirements. A fast-paced, detail-oriented environment is expected.

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