Home Health Contract Specialist
hace 5 días
Colorado Springs
Job Description MUST HAVE HOME HEALTH CARE CONTRACT EXPERIENCE Human Touch Health Care Services LLC is seeking a detail-oriented and organized Home Health Contract Specialist to manage, review, coordinate, and maintain contracts and agreements related to home health services. This position is responsible for supporting payer and provider contract administration, monitoring contract terms and renewal dates, maintaining accurate documentation, and ensuring agreements align with organizational policies and applicable regulatory requirements. The ideal candidate will have experience with healthcare contracting, insurance payer agreements, managed care organizations, and home health operations. The candidate must demonstrate strong organizational, communication, analytical, and problem-solving skills, along with the ability to manage multiple contracts and deadlines. Benefits: • Competitive salary commensurate with experience., • Opportunities for professional development and career advancement., • Positive and supportive work environment, • Contribution to improving healthcare access and quality in the community, • Comprehensive benefits package including:, • Health insurance, • Vision, • Dental, • Vacation Time, • Sick Leave Responsibilities • Contract Administration and Management, • Prepare, review, organize, and maintain contracts, amendments, renewals, and related documentation., • Track contract expiration dates, renewal deadlines, rate changes, and other important contractual milestones., • Maintain an organized electronic contract repository to ensure documents are accessible and properly documented., • Coordinate contract reviews, approvals, signatures, and execution with internal stakeholders., • Ensure contract records are complete, accurate, and maintained in accordance with company procedures., • Identify contract discrepancies, missing information, and potential compliance concerns and escalate them appropriately., • Healthcare Payer and Provider Contracting, • Assist with managing contracts and agreements with Medicare Advantage plans, Medicaid managed care organizations, commercial insurance companies, and other healthcare payers, as applicable., • Support the development and maintenance of payer relationships and contracting documentation., • Coordinate contract submissions, credentialing-related documentation, and requests for additional information., • Review payer fee schedules, reimbursement rates, authorization requirements, and service terms., • Help ensure that contractual reimbursement terms are communicated to the appropriate billing, authorization, and operations teams., • Track the status of new payer agreements, amendments, and contract negotiations., • Assist with identifying opportunities to improve reimbursement terms and expand payer participation., • Compliance and Regulatory Support, • Help ensure contracts are consistent with applicable federal and state requirements, payer guidelines, and organizational policies., • Monitor contractual requirements related to documentation, service delivery, reporting, and compliance., • Coordinate with compliance and operational leadership when contract terms require clarification., • Maintain documentation supporting audits, payer reviews, and internal compliance assessments., • Protect confidential patient, employee, payer, and business information in accordance with applicable privacy and confidentiality requirements., • Escalate potential contractual risks, compliance concerns, and deviations from established procedures., • Coordination With Billing and Operations, • Collaborate with billing, authorization, clinical operations, credentialing, and administrative teams to support contract implementation., • Communicate payer-specific requirements, reimbursement terms, and contractual updates to relevant departments., • Assist in investigating contract-related billing discrepancies, denied claims, reimbursement issues, and authorization concerns., • Help verify that applicable fee schedules and contract terms are accurately reflected in internal systems., • Coordinate the communication of contract changes that may affect service delivery, billing workflows, or reimbursement., • Support the resolution of contract-related questions from internal departments and external payer representatives., • Reporting and Documentation, • Maintain accurate contract tracking logs, renewal calendars, and status reports., • Prepare reports summarizing active contracts, pending agreements, expiring contracts, and outstanding contracting tasks., • Monitor contract-related deadlines and follow up with stakeholders to ensure timely completion., • Track changes in reimbursement rates, payer requirements, and contractual obligations., • Provide management with updates on contracting progress, outstanding issues, and potential risks., • Recommend improvements to contract tracking, document management, and administrative workflows., • Communication and Relationship Management, • Communicate professionally with insurance representatives, healthcare partners, vendors, and internal stakeholders., • Follow up on pending agreements, outstanding documentation, contract amendments, and renewal requests., • Coordinate meetings and discussions related to contract reviews and negotiations., • Maintain professional working relationships while ensuring the organization's contractual interests are appropriately represented., • Escalate unresolved issues to the appropriate manager or executive leader. Qualifications • Associate degree or bachelor's degree in Healthcare Administration, Business Administration, Contract Management, Finance, or a related field preferred., • Equivalent relevant healthcare contracting experience may be considered in place of formal education., • Two or more years of experience in healthcare contract administration, payer contracting, provider relations, revenue cycle management, or a related field preferred., • Experience working with home health agencies, Medicare Advantage plans, Medicaid managed care organizations, or commercial insurance payers is highly desirable., • Familiarity with healthcare reimbursement structures, payer fee schedules, and contract renewal processes preferred., • Experience maintaining confidential records and managing multiple deadlines., • Understanding of healthcare contracting processes and payer-provider relationships., • Familiarity with home health services and the operational requirements of a home health agency., • Knowledge of payer reimbursement terms, authorization requirements, and billing processes., • Strong written and verbal communication skills., • Excellent organizational skills and attention to detail., • Ability to review contractual documents, identify discrepancies, and track obligations., • Proficiency in Microsoft Office applications, including Excel, Word, and Outlook., • Ability to maintain accurate electronic records and prepare reports., • Strong time-management and follow-up skills., • Ability to handle confidential information with discretion., • Ability to work independently while collaborating effectively with cross-functional teams., • Experience negotiating or supporting negotiations of healthcare payer contracts., • Familiarity with Medicare and Medicaid reimbursement policies applicable to home health agencies., • Experience with managed care contracting and payer credentialing processes., • Knowledge of healthcare compliance requirements and contract risk management., • Experience using electronic contract management systems or healthcare administrative platforms. Performance Expectations The successful candidate will be expected to: • Maintain an accurate and up-to-date contract repository., • Monitor contract expiration dates and initiate renewal processes before deadlines., • Ensure contract documentation is complete and appropriately approved., • Communicate contractual changes to relevant departments promptly., • Support the timely resolution of payer contract and reimbursement issues., • Provide accurate and timely contract status reports to management., • Identify opportunities to improve contract administration and workflow efficiency. Work Environment This position operates in a professional healthcare administrative environment and requires regular communication with internal departments and external healthcare partners. The role may require managing multiple priorities, meeting time-sensitive deadlines, and coordinating contract-related activities across departments and locations. Job Type: Full-time Work location: Washington, DC. Onsite, five days per week; no remote or hybrid option. Schedule: Monday-Friday, based on the agency's assigned business hours. Pay: $55,000-$65,000 annually Based on experience Experience: 2 years Home Health Contract Specialist Note: This job description is intended to describe the general nature and level of work performed in this position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Management reserves the right to modify responsibilities as organizational needs change. Job Posted by ApplicantPro
Limpieza
Transporte y Reparto
Camareros
Construcción y Obras
Seguridad
Estética y Belleza
Oficina y Administración
Almacén
Ventas y Marketing
Servicio al Cliente
Arte, Medios de Comunicación, Diseño
Contabilidad y Finanzas
Cuidado de animales
Cuidado de niños
Deportes y Bienestar
Educación
Personal de Bar
Servicios Jurídicos
Tecnología de la información