Medical Bill Auditor

We're excited you're considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law. About this Position At Texas Mutual, we're on a mission to build a stronger, safer Texas. As the largest workers' compensation provider in Texas, we help injured workers return to a productive life, give businesses the tools to thrive, invest in our communities, and empower our employees to do their best work. Our Medical Audit department acts on that mission by providing quality medical bill reviews and collaborating with stakeholders to provide cost savings to Texas Mutual, policyholders, and injured workers. As a Medical Bill Auditor, you will work directly with Texas healthcare providers who provide treatment to injured workers. Your expertise will be instrumental in reviewing and analyzing medical bills, ensuring accuracy, completeness and reimbursement that is compliant with relevant regulations and payer policies. This role requires a proactive and results-oriented individual with a strong medical billing or healthcare background. You will audit medical bills based on the Texas Workers Compensation Act. Your ability to learn quickly and work in a fast-paced, production-based environment is essential. Responsibilities & Qualifications Essential Job Functions In this role, you will: Review and analyze medical bills, ensuring they are accurate, complete, and compliant with relevant regulations and payer policies. Work with key stakeholders to detect and investigate discrepancies or inconsistencies in billing practices, including potential fraud or abuse. Provide key stakeholders with education and training on accurate coding practices and compliance matters through the audit processes. Contribute to the development and implementation of best practices and process improvements within the billing and auditing functions.

You are required to have:

A high school diploma or GED. At least two years of experience with medical billing or coding or equivalent education, training, or experience. Knowledge of medical terminology. It would be great if you have: Knowledge of Workers' Compensation and/or Medicare medical billing. Possess the Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) designations. Experience working in a healthcare provider's office. Texas Mutual Pay Transparency The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Base Pay Range:

$27.81 - $34.36

Per Hour Flex-Hybrid Work Environment:

Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:

Annual performance bonus and merit-based pay increase Lifestyle Savings Account ($1,000 per year) Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6% Student loan repayment matching in 401k plan Three weeks' time off for vacation Nine paid holidays and two personal days each year Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet insurance and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free student loan repayment and refinancing consultation Professional development and tuition reimbursement Employee referral bonus Free onsite snacks Texas Mutual Insurance Company is the state's leading choice for workers' compensation insurance, with over 40 percent of the market. Thousands of Texas businesses rely on us to help them control their workers' comp costs, protect their employees, and ensure their injured workers receive quality care. Preventing workplace accidents is a foundation of our mission. We have frequently been named one of the Best Companies to Work for in Texas. Our competitive salaries, award-winning benefits package, and employee recognition programs are just a few of the reasons our average employee tenure is 10 years. If you need an accommodation with any part of the application process, please contact 800-859-5995 and ask to speak with Human Resources.