Medical Bill Auditor
About The 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.
Requirements
- 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.
Nice To Haves
- 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.
Responsibilities
- 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.
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
