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Documentation Specialist
AdaptHealthDocumentation Specialist ensuring the timely collection and management of patient documentation for AdaptHealth. Collaborating with internal teams and external partners to support compliant billing and patient care.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation review and compliance with Medicare, Medicaid, and HIPAA regulations, while effectively managing patient eligibility documents and prior authorizations. Strong communication and problem-solving skills are essential for collaborating with healthcare providers and ensuring timely billing.
Highest-signal resume keywords
Clinical Documentation ReviewPayer CompliancePrior Authorization ManagementStrong Communication SkillsCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Administrative ExperienceBillingClaims ProcessingPatient Eligibility ManagementDocumentation Analysis
Soft Skills
Problem-Solving SkillsAttention to DetailVerbal CommunicationWritten CommunicationMulti-Tasking
Tools & Technologies
Electronic Documentation SystemsDatabase Management
Industry Keywords
Medicare ComplianceMedicaid ComplianceHIPAA RegulationsInsurance Regulations
About the role
Key responsibilities & impact- 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 escalate 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
Requirements
What you’ll need- 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
Benefits
Comp & perks- Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
- 401(k) with company match
- Paid Time Off Plans including 6 paid holidays
- Employee Stock Purchase Plan
- Paid Parental Bonding Leave
- Short and Long-term Disability Insurance
- Life and AD&D Insurance
- Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
- CVS Minute Clinic and Teledoc access
- Spousal Advantage Reimbursement Plan
- Identity Theft Protection and Legal Plan