RCM Contract Support Specialist - Bilingual Spanish

Integrated Home Care Services, Inc. • Miramar, FL

3d

About The Position

The RCM Contract Support Specialist is responsible for administering, interpreting, implementing, and auditing IHCS and CMS payor contracts, provider agreements, reimbursement schedules, and fee structures. The role ensures contractual terms, reimbursement rates, billing requirements, and amendments are accurately documented and reflected in applicable billing systems. It also involves ongoing contract and reimbursement audits to identify discrepancies, prevent revenue leakage, ensure compliance, and maximize reimbursement accuracy.

Requirements

• Bilingual in Spanish.
• Comprehensive knowledge of the managed care industry and product administration and implementation.
• Minimum of 2–3 years of experience in healthcare revenue cycle, payor contract management, billing, or reimbursement.
• Knowledge of healthcare payor contracts, fee schedules, reimbursement methodologies, claim processing, CPT, ICD-10, modifiers, and HCPCS.
• Proficiency in Microsoft Excel, including PivotTables, sorting, filtering, and data analysis.
• Strong analytical, organizational, communication, and problem-solving skills.

Nice To Haves

• Associate degree.
• Experience with contract auditing, pricing validation, underpayment identification, and billing system configuration.

Responsibilities

• Administer, interpret, implement, and audit IHCS and CMS payor contracts, provider agreements, reimbursement schedules, and fee structures.
• Ensure contractual terms, reimbursement rates, billing requirements, and amendments are accurately documented and reflected in applicable billing systems.
• Conduct ongoing contract and reimbursement audits.
• Identify discrepancies and help prevent revenue leakage.
• Support compliance and maximize reimbursement accuracy.

Benefits

• Medical, vision, and dental insurance.
• Short- and long-term insurance.
• 6+ days of holiday pay.
• 17 days of PTO.
• Employer-paid life insurance.
• 401(k) with employer contribution.
• Wellness program with reward incentives.
• Employee recognition and reward programs.
• Comprehensive paid training program.

What This Job Offers

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