Home Health Contract Specialist

Human Touch Home Health Care • Colorado Springs, CO

3d • $55,000 - $65,000 • Onsite

About The Position

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. The role supports payer and provider contract administration, monitors contract terms and renewal dates, maintains accurate documentation, and helps ensure agreements align with organizational policies and applicable regulatory requirements.

The position works with healthcare contracts, insurance payer agreements, managed care organizations, and home health operations. It collaborates with billing, authorization, clinical operations, credentialing, administrative, compliance, and operational teams, as well as external payers and healthcare partners. The specialist maintains contract records and reports, tracks milestones and requirements, communicates contract changes, and helps resolve contract-related billing, reimbursement, authorization, and compliance issues.

This is a full-time onsite position in Washington, DC, five days per week, with no remote or hybrid option. The schedule is Monday through Friday based on the agency's assigned business hours. The stated annual pay range is $55,000–$65,000, based on experience.

Requirements

• Must have home health care contract experience.
• Two or more years of experience in healthcare contract administration, payer contracting, provider relations, revenue cycle management, or a related field is preferred; the posting also lists two years of Home Health Contract Specialist experience.
• 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.

Nice To Haves

• Associate degree or bachelor's degree in Healthcare Administration, Business Administration, Contract Management, Finance, or a related field; equivalent relevant healthcare contracting experience may be considered instead of formal education.
• Experience working with home health agencies, Medicare Advantage plans, Medicaid managed care organizations, or commercial insurance payers.
• Familiarity with healthcare reimbursement structures, payer fee schedules, and contract renewal processes.
• 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.

Responsibilities

• Prepare, review, organize, and maintain contracts, amendments, renewals, and related documentation.
• Track contract expiration dates, renewal deadlines, rate changes, and other contractual milestones.
• Maintain an organized electronic contract repository and ensure records are complete, accurate, accessible, and maintained according to company procedures.
• Coordinate contract reviews, approvals, signatures, and execution with internal stakeholders.
• Identify contract discrepancies, missing information, and potential compliance concerns, and escalate them appropriately.
• Assist with contracts and agreements involving Medicare Advantage plans, Medicaid managed care organizations, commercial insurers, and other healthcare payers.
• Support payer relationships and maintain contracting documentation.
• Coordinate contract submissions, credentialing-related documentation, and responses to requests for additional information.
• Review payer fee schedules, reimbursement rates, authorization requirements, and service terms.
• Communicate contractual reimbursement terms to billing, authorization, and operations teams.
• Track new payer agreements, amendments, and contract negotiations.
• Assist with identifying opportunities to improve reimbursement terms and expand payer participation.
• Help ensure contracts comply 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 need clarification.
• Maintain documentation supporting audits, payer reviews, and internal compliance assessments.
• Protect confidential patient, employee, payer, and business information.
• Escalate potential contractual risks, compliance concerns, and deviations from established procedures.
• Collaborate with billing, authorization, clinical operations, credentialing, and administrative teams to support contract implementation.
• Assist in investigating contract-related billing discrepancies, denied claims, reimbursement issues, and authorization concerns.
• Help verify that fee schedules and contract terms are accurately reflected in internal systems.
• Coordinate communication of contract changes that may affect service delivery, billing workflows, or reimbursement.
• Support resolution of contract-related questions from internal departments and external payer representatives.
• Maintain contract tracking logs, renewal calendars, and status reports.
• Prepare reports on 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.
• Update management on contracting progress, outstanding issues, and potential risks.
• Recommend improvements to contract tracking, document management, and administrative workflows.
• Communicate professionally with insurance representatives, healthcare partners, vendors, and internal stakeholders.
• Follow up on pending agreements, outstanding documentation, amendments, and renewal requests.
• Coordinate meetings and discussions related to contract reviews and negotiations.
• Maintain professional working relationships while appropriately representing the organization's contractual interests.
• Escalate unresolved issues to the appropriate manager or executive leader.
• Maintain an accurate and current contract repository; initiate renewal processes before deadlines; ensure documentation is complete and appropriately approved; promptly communicate contractual changes; support timely resolution of payer contract and reimbursement issues; provide accurate and timely status reports; and identify workflow improvements.

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, and sick leave.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed