Documentation Specialist

Job Summary

To support timely patient care and billing processes, the fully remote Documentation Specialist will manage the collection and validation of patient documentation, ensuring compliance with billing regulations while collaborating with healthcare providers and internal teams.

Key responsibilities

• Review, analyze, and validate clinical documentation for payer compliance and billing readiness
• Collect and manage patient eligibility documents, including prescriptions and prior authorizations
• Resolve pending revenue by reconciling documentation with outstanding charges and communicate with physician offices and payers to obtain missing documentation

Required qualifications

• High School Diploma or equivalent work experience required
• One (1) year of administrative experience in insurance, billing, claims, or financial services
• Proficient computer and system skills
• Ability to work in a fast-paced environment with multi-tasking capabilities
• Strong problem-solving skills and excellent customer service skills