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.
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.
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.
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
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.
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, the state's leading workers' compensation provider, has a strong foundation of success. We insure 40% of the Texas workers' compensation market, which means that more than 80,000 business owners rely on us to keep their 1.5 million workers safe on the job every day.
Our exceptional employees answer the call by providing strategic safety services, top-notch medical care coordination if an accident occurs, claims handling designed to get workers well and back on the job, a zero-tolerance fraud policy and more. We provide our employees with the training, technology, tools and support needed to deliver top-tier service.
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. We empower career growth with our professional development opportunities, and support our employees' efforts to make a difference in the communities in which they live.
Texas Mutual is always seeking talented, dedicated people to join its team. Read more about why so many choose to work with us at texasmutual.com/careers.
