Patient Documentation Specialist: Billing & Compliance

AdaptHealth LLC; Daytona Beach (FL); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

401(k) with company match

Paid Time Off Plans including 6 paid:

Employee Stock Purchase Plan

Paid Parental Bonding Leave

Short and Long-term Disability

Job summary

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

The role requires a High School Diploma or equivalent, at least 1 year of administrative experience, sharp attention to detail, and strong communication skills.

Qualifications

• High School Diploma or equivalent work experience required.
• One year of administrative experience.
• Strong problem-solving skills with attention to detail.
• Strong verbal and written communication.
• Excellent customer service skills.
• Proficient computer and system skills.

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.

Skills

Detail oriented

Verbal communication

Written communication

Customer service

Computer skills

Multi-tasking

Education

High School Diploma or equivalent

Job description

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

The role requires a High School Diploma or equivalent, at least 1 year of administrative experience, sharp attention to detail, and strong communication skills.