Contract Management Auditor

Job Summary

A company is looking for a Contract Management Auditor to review and resolve discrepancies in claim payments.

Key Responsibilities:

• Research and identify claim reimbursement discrepancies to maximize payer reimbursements
• Review payer contracts and collaborate with the modeling team to ensure accurate calculations
• Manage communication with payors and client representatives to correct underpayments and identify overpayment refunds

Required Qualifications:

• 3 years of experience in healthcare billing with multiple payors
• Strong knowledge of healthcare billing processes
• Above average investigative and analytical skills
• High degree of self-motivation
• Ability to collaborate effectively with team members