Full-Time Documentation Specialist

Documentation Specialist

Job Duties:

• Create and generate electronic forms requesting patient documents from physicians.
• Collect and manage patient eligibility documents (e.g., prescriptions, certificates of medical necessity, letters of medical necessity, prior authorizations).
• Contact doctor offices to collect necessary documentation (e.g., prescriptions, certificates of medical necessity, clinical notes, lab results).
• Contact insurance companies to collect approved prior-authorization requests.
• Escalate recurring problems to management.
• Maintain consistent attendance and flexibility.
• Understand and follow Medicare, Medicaid, HIPAA, and Private Insurance regulations.
• Plan and organize work effectively.
• Meet productivity requirements.
• Promote a team-oriented environment.
• Participate in continuous quality improvement.
• Represent the organization professionally.
• Serve as backup to the Customer Service department for customer concerns.
• Analyze documentation required for billing services and ensure compliance.
• Resolve pending revenue by reconciling documentation and charges.
• Collaborate with physician offices and AdaptHealth staff for timely documentation.
• Identify trends and provide feedback on compliant documentation requirements.
• Request authorization from state Medicaid programs.
• Maintain and update physician databases for accurate billing documentation.

Competency, Skills and Abilities:

• Strong decision-making, analytical and problem-solving skills with attention to detail.
• Excellent verbal and written communication skills.
• Strong customer service skills.
• Proficient computer skills and knowledge of Microsoft Office.
• Ability to prioritize and manage multiple tasks.

Reports To: Department Manager

Approved by: Human Resources

Requirements:

• High School Diploma or equivalent
• 1 year of work-related experience in healthcare administration, finance, insurance, claims, billing, call center, or management (any industry)
• Senior level requires 2 years of work-related experience and 1 year of exact job experience.
• Exact job experience includes tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

Possible employment type: full_time

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