Patient Documentation & Billing Specialist

Adapt-Health-LLC

Murfreesboro (TN)

On-site

USD 42,000 - 60,000

Full time

14 days+

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Job summary

AdaptHealth is seeking a Documentation Specialist to ensure 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.

In this role, you will review clinical documentation for payer readiness, manage eligibility documents, and coordinate prior authorizations while upholding HIPAA and privacy standards to support timely

Qualifications

  • High School Diploma or equivalent work experience.
  • 1 year of administrative experience in insurance, billing, or similar.
  • Strong problem-solving and attention to detail.
  • Excellent verbal and written communication.
  • Customer service skills.
  • Proficient computer and system skills.
  • Ability to work in a fast-paced environment with multitasking.

Responsibilities

  • Review and validate clinical documentation for payer compliance and billing readiness.
  • Collect and manage patient eligibility documents (prescriptions, CMNs/LMNs, notes, labs, authorizations).
  • Resolve revenue by reconciling documentation with charges.
  • Request and track prior authorizations including Medicaid coordination.
  • Ensure HIPAA and insurance regulations compliance.
  • Communicate with physicians and payers to obtain missing documentation.
  • Update physician databases and support timely billing.

Skills

Administrative experience
Billing & claims
Customer service
Communication
Proficient computer skills

Education

High School Diploma

Job description

AdaptHealth is seeking a Documentation Specialist to ensure 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.

In this role, you will review clinical documentation for payer readiness, manage eligibility documents, and coordinate prior authorizations while upholding HIPAA and privacy standards to support timely

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