Documentation Specialist

Job Summary

To support patient care and billing processes, the hybrid remote Documentation Specialist will manage the collection and validation of clinical documentation, collaborate with healthcare providers and insurance companies, and ensure compliance with regulatory standards.

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 relevant parties to obtain missing information

Required qualifications

• High School Diploma or equivalent work experience required
• One 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