Contract Management Auditor

Role Overview

• Responsible for reviewing, analyzing and resolving discrepancies in claim payments.
• Proactively researches and identifies claim reimbursement discrepancies and takes necessary steps to resolve issues.
• Reviews and interprets payer contracts and associated documentation.
• Works with payors and client payor representatives through various communication methods.
• Manage Contract Management processes for multiple clients.
• Maintain tracking system and reporting on appeals and under payment recoupments.

Requirements

• 3 Years of health care billing multiple payors.
• 1 Year of Health care Contract Management Auditing or Comparable Experience
• Above average knowledge of healthcare billing processes.
• High degree of self-motivation, strong organizational skills.
• Ability to positively collaborate and communicate with the team.
• Can work independently and has a high degree of critical thinking skills.

Benefits

• Health insurance
• Professional development opportunities