Documentation Specialist

Job Summary

To support patient care initiatives, the hybrid remote Documentation Specialist will manage the collection and validation of clinical documentation for compliant billing, collaborate with healthcare providers and internal teams, and resolve pending revenue issues.

Key responsibilities

• Review and validate clinical documentation to ensure payer compliance and billing readiness
• Collect and manage patient eligibility documents, including prescriptions and prior authorizations
• Communicate with physician offices and payers to obtain missing or incomplete 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