Home Health Contract Specialist

Human Touch Home Health Care•Denver, 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 position 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 ideal candidate has healthcare contracting experience, including insurance payer agreements, managed care organizations, and home health operations, and can manage multiple contracts and deadlines. The role works with internal teams and external healthcare partners to administer payer and provider agreements, support contract implementation, communicate contract changes, and address contract-related billing, reimbursement, and authorization issues. It also maintains contract records and reporting, monitors deadlines and obligations, supports compliance and audit documentation, and escalates risks or unresolved issues as appropriate. This is a full-time, onsite position in Washington, DC, five days per week, with a Monday–Friday schedule based on the agency’s assigned business hours. The stated annual pay range is $55,000–$65,000, based on experience.

Requirements

At least two years of home health contract specialist experience, as stated in the posting.
Two or more years of experience in healthcare contract administration, payer contracting, provider relations, revenue cycle management, or a related field is preferred.
Experience with home health agencies, Medicare Advantage plans, Medicaid managed care organizations, or commercial insurance payers is highly desirable.
Understanding of healthcare contracting processes and payer-provider relationships.
Familiarity with home health services and home health agency operational requirements.
Knowledge of payer reimbursement terms, authorization requirements, and billing processes.
Experience maintaining confidential records and managing multiple deadlines.
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 and collaborate effectively with cross-functional teams.
Must have home health care contract experience.

Nice To Haves

Associate or bachelor’s degree in Healthcare Administration, Business Administration, Contract Management, Finance, or a related field; equivalent relevant healthcare contracting experience may be considered in place of formal education.
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 properly documented.
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 managing agreements with Medicare Advantage plans, Medicaid managed care organizations, commercial insurance companies, and other healthcare payers.
Support payer relationship documentation, contract submissions, credentialing-related documentation, and requests for additional information.
Review payer fee schedules, reimbursement rates, authorization requirements, and service terms; communicate relevant terms to billing, authorization, and operations teams.
Track new payer agreements, amendments, negotiations, and opportunities to improve reimbursement terms or expand payer participation.
Help ensure contracts comply with applicable federal and state requirements, payer guidelines, and organizational policies.
Monitor contractual documentation, service delivery, reporting, and compliance requirements; coordinate with compliance and operational leadership as needed.
Maintain documentation for audits, payer reviews, and internal compliance assessments, and protect confidential information.
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 and coordinate communication of changes affecting service delivery, billing, or reimbursement.
Maintain contract tracking logs, renewal calendars, and status reports; report on active, pending, and expiring agreements and outstanding tasks.
Monitor deadlines, follow up with stakeholders, track changes in rates and payer requirements, and update management on progress, issues, and 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 agreements, documentation, amendments, and renewals.
Coordinate meetings and discussions related to contract reviews and negotiations, maintain professional working relationships, and escalate unresolved issues to an appropriate manager or executive leader.
Maintain an up-to-date contract repository, initiate renewals before deadlines, ensure documentation is complete and approved, communicate contractual changes promptly, and provide timely reports to management.