RCM Contract Support Specialist - Bilingual Spanish
About The Position
Integrated Home Care Services (IHCS) provides home-based Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services through a network of Medicare- and Medicaid-certified and accredited providers. The organization serves more than 2 million lives across the United States and the Commonwealth of Puerto Rico, with a focus on coordinated care and patient outcomes. 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 that contractual terms, reimbursement rates, billing requirements, and amendments are accurately documented and reflected in relevant billing systems. The specialist conducts ongoing contract and reimbursement audits to identify discrepancies, prevent revenue leakage, ensure compliance, and improve reimbursement accuracy. IHCS describes its culture as centered on compassion, integrity, collaboration, and innovation, and states that it is an equal opportunity employer committed to an inclusive environment.
Requirements
- Bilingual in Spanish.
- Minimum 2–3 years of experience in healthcare revenue cycle, payor contract management, billing, or reimbursement.
- Comprehensive knowledge of the managed care industry and product administration and implementation.
- Knowledge of healthcare payor contracts, fee schedules, reimbursement methodologies, claim processing, CPT, ICD-10, modifiers, and HCPCS.
- Strong analytical, organizational, communication, and problem-solving skills.
- Proficiency in Microsoft Excel, including PivotTables, sorting, filtering, and data analysis.
Nice To Haves
- Associate degree preferred.
- Experience with contract auditing, pricing validation, underpayment identification, and billing system configuration preferred.
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.
- Perform ongoing contract and reimbursement audits to identify discrepancies, prevent revenue leakage, ensure compliance, and maximize reimbursement accuracy.
Benefits
- Medical, vision, and dental coverage.
- Short- and long-term insurance.
- 6+ days of holiday pay.
- 17 days of paid time off.
- Employer-paid life insurance.
- 401(k) with employer contribution.
- Wellness program with reward incentives.
- Employee recognition and reward programs.
- Comprehensive paid training program.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
