Home Health Contract Specialist

Human Touch Home Health Care•Colorado Springs, CO
•Onsite

About The Position

Human Touch Health Care Services LLC is seeking a detail-oriented, 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 successful candidate will have home health care contract experience and will be able to manage multiple contracts and deadlines while communicating and collaborating with internal teams and external healthcare partners. This position supports contracts with Medicare Advantage plans, Medicaid managed care organizations, commercial insurers, and other healthcare payers. It coordinates contract reviews, approvals, credentialing-related documentation, implementation, and communication of payer requirements and reimbursement terms. It also supports compliance documentation, billing and reimbursement issue resolution, contract reporting, and improvements to contract administration workflows. The role is based onsite 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

  • Home health care contract experience is required.
  • 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 with 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.
  • Ability to manage multiple priorities and meet time-sensitive deadlines.
  • Associate or bachelor’s degree in Healthcare Administration, Business Administration, Contract Management, Finance, or a related field is preferred; equivalent relevant healthcare contracting experience may be considered in place of formal education.

Nice To Haves

  • Experience 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 submissions, credentialing-related documents, and responses to requests for additional information.
  • Review payer fee schedules, reimbursement rates, authorization requirements, and service terms, and communicate contractual reimbursement terms to billing, authorization, and operations teams.
  • Track new payer agreements, amendments, and negotiations, and assist in identifying opportunities to improve reimbursement terms and expand payer participation.
  • Help ensure contracts align 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 when contract terms need clarification; maintain documentation for audits, payer reviews, and internal compliance assessments.
  • Protect confidential patient, employee, payer, and business information and escalate potential contractual risks, compliance concerns, and procedural deviations.
  • Collaborate with billing, authorization, clinical operations, credentialing, and administrative teams to support contract implementation.
  • Assist with investigating contract-related billing discrepancies, denied claims, reimbursement issues, and authorization concerns; help verify fee schedules and contract terms in internal systems.
  • Communicate contract changes that may affect service delivery, billing workflows, or reimbursement, and respond to contract-related questions from internal departments and payer representatives.
  • Maintain contract tracking logs, renewal calendars, and status reports; report on active contracts, pending agreements, expiring contracts, outstanding tasks, progress, issues, and potential risks.
  • Monitor contract-related deadlines, follow up with stakeholders, and track changes in rates, payer requirements, and contractual obligations.
  • 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 relationships, represent the organization’s contractual interests, and escalate unresolved issues to the appropriate manager or executive leader.
  • Maintain an accurate and up-to-date contract repository, initiate renewals before deadlines, ensure appropriate approvals, communicate changes promptly, support timely resolution of payer contract and reimbursement issues, and provide accurate, timely status reports to management.

Benefits

  • Competitive salary commensurate with experience.
  • Opportunities for professional development and career advancement.
  • Positive and supportive work environment.
  • Opportunity to contribute to improving healthcare access and quality in the community.
  • Comprehensive benefits package, including health insurance, vision, dental, vacation time, and sick leave.
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