Contract Management Auditor

Job Summary

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