RCM Contract Support Specialist – Bilingual Spanish

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Integrated Home Care Services, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.

📋 Description

• 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

🎯 Requirements

• Bilingual Spanish • 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 • Proficiency in Microsoft Excel, including PivotTables, sorting, filtering, and data analysis • Strong analytical, organizational, communication, and problem-solving skills • Associate Degree preferred • Experience with contract auditing, pricing validation, underpayment identification, and billing system configuration preferred

🏖️ Benefits

• 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

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