Logo for Integrated Home Care Services, Inc.

RCM Contract Support Specialist - Bilingual Spanish

Role overview

Summary

This role focuses on managing and auditing payor contracts and provider agreements at IHCS, ensuring compliance and accuracy in billing processes. You will contribute to the organization's mission of delivering high-quality home healthcare services by maximizing reimbursement and preventing revenue leakage.

Qualifications

  • Bilingual Spanish
  • Minimum 2–3 years of healthcare revenue cycle, payor contract management, billing, or reimbursement experience
  • Comprehensive knowledge of managed care industry and product administration/implementation
  • Proficiency in Microsoft Excel, including PivotTables, sorting, filtering, and data analysis
  • Preferred: Associate Degree

Responsibilities

  • Administer and interpret IHCS and CMS payor contracts and provider agreements.
  • Audit contracts and reimbursement processes to identify discrepancies and ensure compliance.
  • Document contractual terms and reimbursement rates in billing systems accurately.
  • Perform ongoing audits to maximize reimbursement accuracy.

Key facts

  • Remote from: United States
  • Fixed term
  • Mid-level (2-5 years)
  • Contract Specialist
  • Spanish

Hard skills

Other skills

  • Microsoft Excel
  • Analytical Skills
  • Organizational Skills
  • Communication
  • Problem Solving

About the company

Integrated Home Care Services, Inc. logo

Integrated Home Care Services, Inc.

  • Hospitals & Health Systems
  • SME
  • 501–1,000
Integrated Home Care Services (IHCS) delivers value-based home care solutions that help patients, providers, and health plans achieve their care goals in the home. IHCS is a leading home care benefits manager and home care provider offering home health, home infusion, and durable medical equipment services to over 2.7 million patients across 13 states and Puerto Rico. For over 25 years, IHCS’s relentless focus on integrated, high-quality care has reduced avoidable hospitalizations and emergency department visits and enabled more patients to improve their health at home. Our award-winning home care insights and outcomes platform, MedTrac, delivers data-driven insights and efficient processes that enables our comprehensive network of providers to deliver timely, highly coordinated care. To learn more about how IHCS’s model unlocks the full potential of care in the home, download our position paper or visit ihcscorp.com.

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Job description

Who we are:

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence.

For more than 30 years, we have been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care.

At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

If you are passionate about making a meaningful impact, thrive in a collaborative environment, and are committed to excellence, we invite you to join our growing team. Together, we can continue transforming home healthcare while making a difference in the lives of our patients and the communities we serve.

Join IHCS where our patients are #1, and our people make the difference. Apply today!

Offering a competitive compensation package, including but not limited to;

  • Medical, Vision, Dental, Short- and Long-term insurance
  • 6+ Days of Holidays Pay
  • 17 days of PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
  • Comprehensive paid training program

What will you be doing:

Responsible for the administration, interpretation, implementation, and auditing of all IHCS and CMS payor contracts, provider agreements, reimbursement schedules, and fee structures. Ensures contractual terms, reimbursement rates, billing requirements, and amendments are accurately documented and reflected in applicable billing systems. Performs ongoing contract and reimbursement audits to identify discrepancies, prevent revenue leakage, ensure compliance, and maximize reimbursement accuracy.

What will you need to succeed:

  • Bilingual Spanish
  • Associate Degree (preferred)
  • Comprehensive knowledge of managed care industry and product administration/implementation.
  • Minimum 2–3 years of healthcare revenue cycle, payor contract management, billing, or reimbursement experience.
  • Knowledge of healthcare payor contracts, fee schedules, reimbursement methodologies, claim processing, CPT, ICD-10, modifiers, and HCPCS.
  • Experience with contract auditing, pricing validation, underpayment identification, and billing system configuration preferred.
  • Proficiency in Microsoft Excel, including PivotTables, sorting, filtering, and data analysis.
  • Strong analytical, organizational, communication, and problem-solving skills.

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

#IND

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