Contract Management Auditor

A company is looking for a Contract Management Auditor responsible for reviewing and resolving discrepancies in claim payments.

Key Responsibilities

Research and resolve claim reimbursement discrepancies to maximize payer reimbursements

Review and interpret payer contracts to ensure accurate modeling and calculations

Manage contract management processes for multiple clients and maintain tracking systems for appeals and recoupments

Required Qualifications

3 years of experience in healthcare billing with multiple payors

1 year of experience in healthcare contract management auditing or comparable experience

Above average knowledge of healthcare billing processes

Strong organizational skills and self-motivation

Ability to work independently and demonstrate critical thinking skills