Revenue-Cycle Documentation Specialist

AdaptHealth

Clearwater (FL)

On-site

USD 42,000 - 64,000

Full time

4 days ago
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Benefits offered by this job

Medical, dental & vision insurance
401(k) with company match
Paid time off
Parental leave
Disability Insurance
Life Insurance
Flexible Spending Accounts

Job summary

Adapt Health in Clearwater, FL seeks a Documentation Specialist to ensure timely, accurate collection and management of patient documentation essential 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 while maintaining HIPAA compliance and high-quality data. This role supports revenue integrity and customer service goals.

Qualifications

  • Review and validate documentation for payer readiness.
  • Coordinate with physician offices and insurers.
  • Ensure HIPAA compliance and timely billing.

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

Attention to detail
Communication skills
Customer service
Multi-tasking
Problem solving

Education

High School Diploma or equivalent

Job description

Adapt Health in Clearwater, FL seeks a Documentation Specialist to ensure timely, accurate collection and management of patient documentation essential 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 while maintaining HIPAA compliance and high-quality data. This role supports revenue integrity and customer service goals.

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