Documentation Specialist

Job Summary

To support patient care and billing processes, the full-time remote Documentation Specialist will manage the collection and validation of patient documentation, ensuring compliance and facilitating communication between physician offices, insurance 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 coordinating with state Medicaid programs

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 and manage multiple tasks
• Strong problem-solving skills with attention to detail