Home Health Contract Specialist

Human Touch Home Health Care•Denver, CO

1d•Onsite

About The Position

Human Touch Health Care Services LLC is seeking a detail-oriented 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 role works with healthcare contracts, insurance payer agreements, managed care organizations, and home health operations. The specialist administers contract records and milestones; supports payer and provider contracting; assists with compliance and regulatory documentation; and coordinates contract implementation with billing, authorization, clinical operations, credentialing, and administrative teams. The position also maintains tracking logs and reports, follows up on deadlines and outstanding agreements, communicates contractual changes, and helps resolve payer contract and reimbursement 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 during 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 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.
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 contract 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 contracts involving Medicare Advantage plans, Medicaid managed care organizations, commercial insurance companies, and other healthcare payers.
Support payer relationships and contracting documentation, and coordinate contract submissions, credentialing-related documentation, and requests for additional information.
Review payer fee schedules, reimbursement rates, authorization requirements, and service terms, and communicate applicable terms to billing, authorization, and operations teams.
Track new payer agreements, amendments, and contract negotiations, and assist in identifying opportunities to improve reimbursement terms and expand payer participation.
Help ensure contracts are consistent with 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 records supporting audits and reviews; and escalate potential risks and compliance concerns.
Protect confidential patient, employee, payer, and business 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.
Support resolution of contract-related questions from internal departments and external payer representatives.
Maintain contract tracking logs, renewal calendars, and status reports; report on active contracts, pending agreements, expiring contracts, and outstanding tasks.
Monitor deadlines, follow up with stakeholders, track changes in reimbursement rates and payer requirements, and provide management with updates 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 the appropriate manager or executive leader.
Maintain an accurate, current contract repository; initiate renewals before deadlines; ensure documentation is complete and appropriately approved; communicate changes promptly; and provide timely, accurate contract status reports.