19 Administration jobs in Burleson
Manager, Medicare Administration
Posted 1 day ago
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Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Physician / Administration / Texas / Permanent / Administration Opening, Fort Worth, Texas
Posted today
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Job Description
Manager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
Job Description
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
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Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
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Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
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Produces reports related to provider network information.
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Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
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Identifies issues, resolves problems and implements best practices.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
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5-7 years managed care experience, including min. 2 years of supervisory experience
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Min. 2 years health plan Provider Network experience
Required License, Certification, Association
N/A
Preferred Education
Bachelor's Degree
Preferred Experience
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7+ years managed care experience
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QNXT; SQL experience
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Crystal Reports for data extraction
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Access and Excel - intermediate plus skill level
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)
Posted 3 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Specialist, Provider Network Administration
Posted 22 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Specialist, Provider Network Administration (EST business hours)
Posted 10 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Office Administration Support - Entry-Level (Part-Time or Full-Time)
Posted 12 days ago
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Job Description
About the Job Position
This flexible opportunity is available to individuals living in or near Fort Worth, Texas. Remote options are available, and all tasks are completed off-site. It's ideal for those seeking straightforward, entry-level administrative duties. Responsibilities may include data organisation, compiling customer feedback, reviewing consumer trends, updating spreadsheets, basic email handling, and other light office support activities. You'll be able to manage your own time while contributing to national and regional research efforts.
Who We Are
Top Level Promotions is a consumer insight and administrative consulting firm that helps national brands connect with real-world feedback. We design simple task-based assignments that give companies better understanding of how their services and products are experienced by the public. As we grow in Fort Worth, we're looking for individuals who are focused, dependable, and confident managing small-scale digital tasks on their own schedule.
Industries We Support:
- Administrative and Office Coordination
- Environmental and Energy Awareness
- Shipping and Distribution Services
- Online Sales and Retail Support
- Fashion, Apparel, and Lifestyle Products
- Packaged Food and Beverage Services
- Automotive Products and Repairs
- Tech and Communication Platforms
- Customer Interaction and Service Tools
- Digital Learning and Education
- Online Media and Entertainment
- Health Services and Community Care
- Assembly and Light Manufacturing
- Animal and Pet Product Brands
- Outdoor Gear and Travel Essentials
- Restaurant, Lodging, and Event Services
- Hobby, Toy, and Game Companies
- Consumer Research and Market Trends
Some projects may reflect Fort Worth's strong industries in aviation, healthcare, energy, and logistics. As one of Texas's fastest-growing cities with a rich mix of history and innovation, Fort Worth offers businesses unique local insights that shape more responsive products and services.
Qualifications
- Reliable internet access
- Laptop or desktop computer with a camera and microphone
- Quiet and organised space for focused work
- Clear written communication
- Comfortable with basic data and online tools
- Self-directed and punctual with assignments
- Accuracy and reliability in task completion
- Choose part-time or full-time hours
- Remote options available - work from your preferred space
- Provide feedback on products and services used daily
- Entry-level friendly - straightforward onboarding included
- Ongoing task availability for dependable contributors
- No office commute needed
- You choose where you work
Compensation
Pay ranges from $18.50 to $36.00 USD per hour depending on task complexity, volume, and subject matter.
Experience
No formal experience required. Clear task instructions and examples will be provided to help you get started smoothly.
How to Apply
If you're located in Fort Worth and are interested in flexible, entry-level work with remote options, we invite you to apply online.
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Data Entry Operator
Posted 12 days ago
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Job Description
We are looking for an efficient and skilled Data Entry Operator to maintain the company database system and keep it up to date on a daily basis. You will be responsible to maintain all the records from the departments and arrange them in a manner that can be accessed whenever required. This job requires a lot of skill and experience. You should be proficient in database management and Microsoft Spreadsheets. You should have fast typing skills and the ability to organize data in a proper professional manner. Proven experience of working as a data entry operator is a must for this role.
If you feel you are suitable for this role, we would like to meet you.
Responsibilities
- Maintain employee database and their useful information in an accurate manner
- Update customer data on a daily basis through useful information
- Work within the given time limit
- Check for the accuracy and sort data according to the source documents
- Verify the data before entering into a database
- Check for the errors and deficiencies and correct them
- Fill in for the missing information through research and coordination from the concerned department
- Apply data program techniques and procedures
- Prepare the backup of all the data and information
- Make reports and prepare data in a useful manner
- Follow company policies and keep the confidential information securely
- High school diploma or certification course can also be considered
- Proven experience of working as a Data Entry Operator
- Proficient in Microsoft office tools
- Accurate in typing with extraordinary typing skills
- Familiar with administrative procedures
- Keep up with the pressure of doing multiple tasks
- Attention to detail
- Proficient in English language
Data Entry Clerk
Posted 12 days ago
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Job Description
We are seeking a detail-oriented and organized Data Entry Clerk to join our team. The ideal candidate will be responsible for accurately inputting, updating, and maintaining information in our databases and systems. This role requires a high level of attention to detail, fast typing skills, and a commitment to data integrity.
Key Responsibilities:
- Accurately enter and update data into databases, spreadsheets, and other systems.
- Verify data for accuracy and completeness.
- Review and correct errors in data entries.
- Maintain and update records as required.
- Perform regular backups to ensure data preservation.
- Respond to information requests and retrieve data from the database or electronic files as needed.
- Maintain confidentiality of sensitive information.
- Perform other clerical duties such as filing, scanning, and document organization.
- High school diploma or equivalent required; additional certification in data entry or administrative assistance is a plus.
- Proficiency in Microsoft Office Suite (Excel, Word) and data entry software.
- Excellent attention to detail and organizational skills.
- Ability to work independently and manage time effectively.
Data Entry Operator | Junior (Remote)
Posted 12 days ago
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Job Description
About the job Data Entry Operator | Junior (Remote)
Important: You Will Receive An Email Within Next 2 Minutes After Applying , Check Your Inbox or Spam Folder For next steps.
A Data Entry Clerk, is responsible for inputting data and making changes to existing data figures in digital databases. Their duties include inputting data from paper documents into digital spreadsheets, updating order statuses for customers and double-checking their work to make sure they inputted data correctly.