MedicalBillAuditor

## 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 f