Documentation Specialist

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• 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

• 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

• 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