Documentation Specialist

AdaptHealth

. Review, analyze, and validate clinical documentation for payer compliance and billing readiness .

Posted 10/23/2026full-timeRemote • Florida • United StatesJunior💰 $17 - $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in reviewing and validating clinical documentation for compliance with Medicare, Medicaid, and HIPAA regulations, while effectively managing patient eligibility and prior authorizations. Strong communication and problem-solving skills are essential for collaborating with healthcare providers and ensuring timely billing processes.

Highest-signal resume keywords

Clinical Documentation ReviewPayer CompliancePrior Authorization ManagementCustomer Service SkillsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Administrative ExperienceBillingClaims ProcessingPatient Eligibility ManagementDocumentation Reconciliation

Soft Skills

Problem-Solving SkillsVerbal CommunicationWritten CommunicationMulti-Tasking Ability

Tools & Technologies

Electronic Documentation SystemsPhysician Databases

Certifications & Qualifications

High School DiplomaFlorida Care Provider Background Screening

Industry Keywords

MedicareMedicaidHIPAAInsurance RegulationsFinancial Services

About the role

Key responsibilities & impact

Review, analyze, and validate clinical documentation for payer compliance and billing readiness
Collect and manage patient eligibility documents, prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizations
Reconcile documentation with outstanding charges to resolve pending revenue
Request and track prior authorizations, including coordination with state Medicaid programs
Identify documentation trends and recurring issues; 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 sales, support, and customer service teams to support timely billing
Maintain and update physician databases for accurate communication and document delivery
Provide backup support for customer service inquiries
Meet productivity, quality, and attendance standards
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
Administrative experience in 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
Background check required
Florida Care Provider Background Screening Clearinghouse screening, as applicable for Florida positions

Benefits

Comp & perks

Competitive Compensation and Incentives
Comprehensive Total Rewards & Benefits
Comprehensive medical, dental and vision coverage
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
Support, Development, and Advancement Opportunities