Documentation Specialist

Documentation Specialist at AdaptHealth

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.

A Documentation Specialist creates and generates electronic forms requesting patient documents from physicians and insurances, as well as collects and manages patient eligibility documents. Additionally, this role is responsible for maintaining a timely revenue cycle for all the goods and services provided by AdaptHealth.

Job Duties

• Create and generate electronic forms requesting patient documents from physicians.
• Collect and manage patient eligibility documents such as prescriptions, certificates of medical necessity, letters of medical necessity and prior authorizations.
• Contact doctor offices as necessary to collect prescriptions, certificates of medical necessity, letters of medical necessity, clinical notes, and lab results.
• Contact insurance companies to collect approved prior-authorization requests.
• Escalate recurring problem accounts or physician groups or other trends to the management appropriately and in a timely manner.
• Maintain regular, predictable, consistent attendance and flexibility to meet the needs of the department.
• Understand and follow all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements.
• Plan and organize work effectively and ensure its completion.
• Meet all productivity requirements.
• Demonstrate team behavior and promote a team-oriented environment.
• Actively participate in continuous quality improvement.
• Always represent the organization professionally.
• Serve as backup to Customer Service department for customer concerns, issues, complaints, or questions.
• Analyze documentation required for billing services and ensure compliance to payer requirements.
• Resolve pending revenue by reconciling received documentation and pending charges.
• Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation.
• Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.
• Requests authorization from state Medicaid programs.
• Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.

Competency, Skills And Abilities

• Decision Making
• Analytical and problem-solving skills with attention to detail
• Strong verbal and written communication
• Excellent customer service skills
• Proficient computer skills and knowledge of Microsoft Office
• Ability to prioritize and manage multiple tasks
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction

Requirements

Minimum Job Qualifications:

• High School Diploma or equivalent
• One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry
• Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
• Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

Key skills/competency

• Document Management
• Healthcare Administration
• Medical Billing
• Regulatory Compliance
• Patient Eligibility
• Revenue Cycle
• Physician Communication
• Prior Authorization
• Customer Service
• Data Entry