Hybrid Medical Operations Supervisor – Billing & Disputes

Texas Mutual Insurance Company

Austin (TX)

Hybrid

USD 102,000 - 127,000

Full time

7 days ago

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Benefits offered by this job

Annual performance bonus

401k with employer match

Three weeks’ vacation

Health insurance

Flexible spending account

Gym and wellness programs

Job summary

Texas Mutual Insurance Company is seeking a Supervisor Medical Operations to oversee inpatient facility bill audit operations, medical fee dispute resolution, and vendor/compliance management within the Texas workers' compensation system.

The role demands deep knowledge of Texas regulations, strong leadership, data analysis, and the ability to drive process improvements in a dynamic environment. Flex-hybrid work arrangement with Texas residency required.

Qualifications

Bachelor's degree in Health Administration, Business, Finance, Healthcare Management, or related field; or equivalent combination of education and relevant experience.
5+ years in Texas workers' compensation, medical bill review, or managed care; at least 2 years in a supervisory or lead capacity.
Expertise in TDI-DWC rules, CMS billing guidelines, and Texas workers' compensation medical fee guidelines.

Responsibilities

Oversee inpatient facility bill audit operations and medical fee dispute resolution.
Develop cost containment strategies within the Texas workers' compensation system.
Serve as SME in medical billing, vendor management, and compliance.