Qureos Mentor

TEEMA Group

<div>Role Summary: 
We are seeking a motivated and detail-oriented Healthcare Claims Representative to join our dynamic team. In this role, you will be the first point of contact for patients, families, insurance representatives, and internal staff, ensuring timely, accurate, and professional resolution of healthcare claims. You will play a critical role in maintaining exceptional customer service and compliance standards while supporting the claims submission process. This position offers the opportunity to contribute meaningfully to patient care by facilitating smooth billing and claims management.
Key Duties and Responsibilities:<ul><li>
Respond promptly and professionally to patient, family, and insurance inquiries regarding claims and billing.</li><li>
Review and verify patient insurance coverage and eligibility.</li><li>
Accurately process claims within established timeframes using claims processing systems.</li><li>
Match appropriate authorizations to claims and track any missing authorizations.</li><li>
Utilize knowledge of HCPC modifiers, coordination of benefits (COB), and billing guidelines for various services including anesthesia, hospital stays, and ambulance services.</li><li>
Communicate effectively with internal personnel, vendors, providers, and billing representatives regarding claim-related issues.</li><li>
Collaborate with the team to resolve claims issues and contribute to special projects.</li><li>
Report inconsistencies related to departmental policies and procedures to management.</li><li>
Provide administrative support including data entry, scanning, and filing as needed.</li><li>
Maintain confidentiality and comply with HIPAA and organizational requirements.</li><li>
Participate in department meetings, training sessions, and process improvement initiatives.</li><li>
Other duties as assigned.</li></ul>
Required Qualifications:<ul><li>
High school diploma or GED required; Associate&rsquo;s degree in Health Administration, Billing, or a related field preferred.</li><li>
1&ndash;2 years of experience in medical billing, claims processing, or healthcare customer service, with familiarity in Medicare/Medicaid billing. Experience in long-term care or similar healthcare settings is highly desirable.</li><li>
Reliable transportation, a valid driver&rsquo;s license, and required state auto insurance.</li><li>
Medically cleared for communicable diseases and up-to-date on all immunizations before engaging in direct patient contact.</li><li>
Successful completion of a comprehensive background check, which may include federal and state exclusion lists, criminal history, education and license verification, reference checks, and drug screening.</li></ul>
Desired Qualifications:<ul><li>
Strong computer literacy, including Microsoft Office Suite (Outlook, Word, Excel, PowerPoint), email, and familiarity with electronic medical records (EMR) systems.</li><li>
Excellent written and verbal communication skills with the ability to correspond effectively and empathetically with patients and team members.</li><li>
Strong attention to detail and organizational skills with the ability to take ownership of responsibilities and deliver accurate, timely results.</li><li>
Ability to adapt to changing priorities with a proactive, solution-oriented mindset and a commitment to improving processes.</li><li>
Demonstrated empathy, professionalism, and a patient-first approach in all interactions.</li></ul>
#Workwolf</div>

Healthcare Claims Representative REMOTE

<div><h2 class="jobSectionHeader">Data Entry Clerk</h2><h3 class="jobSectionHeader">
Role Summary</h3>
Empower the digital foundation of a premier real estate platform by ensuring the integrity and success of a strategic vendor onboarding process. As a Data Entry Clerk, you are much more than a record-keeper; you are a vital guardian of accuracy and a key contributor to a high-priority business program. This role is perfect for a focused professional who thrives in a remote, autonomous environment and takes pride in delivering high-quality, precise work. You will manage high-volume, sensitive transaction data with a level of excellence that directly impacts financial health and supplier relationships.
Key Duties:<ul><li>
Data Integrity &amp; Validation: Expertly review documentation for completeness and accuracy, ensuring every digital envelope is handled with precision.</li><li>
Systems Mastery: Accurately migrate and manage sensitive supplier and banking information within an enterprise ERP system, maintaining a gold standard for data quality.</li><li>
Process Excellence: Follow detailed written procedures with absolute consistency, becoming a subject matter expert in unique onboarding workflows.</li><li>
High-Volume Leadership: Manage repetitive, high-impact transaction work with an inspiring focus on efficiency and a &quot;zero-error&quot; mindset.</li><li>
Confidentiality &amp; Professionalism: Serve as a trusted handler of sensitive business and financial data, maintaining the highest levels of discretion and professional ethics.</li><li>
Independent Ownership: Enjoy the freedom to work independently, managing your daily tasks with minimal oversight while consistently meeting project milestones.</li><li>
Other duties as assigned</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Experience: 3+ years of robust, high-volume data entry experience in a professional setting.</li><li>
Technical Speed: Demonstrated ability to achieve a minimum of 15,000 KSPH (Keystrokes Per Hour).</li><li>
Attention to Detail: An extraordinary eye for accuracy and a passion for consistency.</li><li>
Self-Management: A reliable self-starter who can follow complex written guidance with total independence.</li><li>
Ethical Standards: High level of discretion and integrity when handling confidential financial information.</li></ul><h3 class="jobSectionHeader">
Desired Qualifications</h3><ul><li>
Educational Background: An Associate degree is strongly preferred, reflecting the professional rigor required for this role.</li><li>
Technical Familiarity: Prior experience with Workday, DocuSign, or similar enterprise platforms is a significant plus.</li><li>
Strategic Mindset: Comfort managing high-volume workloads with a positive and proactive attitude.</li></ul><h3 class="jobSectionHeader">
Location and Work Type</h3><ul><li>
Location: Fully Remote</li><li>
Work Type: 3-Month Contract</li><li>
Schedule: * Monday &ndash; Friday<ul><li>
8:00 AM &ndash; 5:00 PM</li><li>
Time Zone: Must be available to support Central Time (CT) hours.</li></ul></li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Data Entry Clerk

<div><h2 class="jobSectionHeader">Role Summary</h2>
The Registered Respiratory Therapist (RRT) provides essential respiratory and cardiopulmonary care to patients across a variety of clinical settings. This role is critical in delivering timely, life-saving interventions while supporting patients with complex respiratory conditions.
Working as part of a collaborative healthcare team, the RRT applies clinical expertise, critical thinking, and compassionate care to assess, treat, and monitor patients. This position offers the opportunity to make a meaningful impact in high-acuity environments while contributing to improved patient outcomes and overall quality of care.<h2 class="jobSectionHeader">
Duties &amp; Responsibilities</h2><h3 class="jobSectionHeader">
Patient Care &amp; Clinical Excellence</h3><ul><li>
Provide comprehensive respiratory care for patients with conditions such as COPD, asthma, interstitial lung disease, and other cardiopulmonary disorders</li><li>
Assess, monitor, and evaluate patient respiratory status and overall clinical condition</li><li>
Deliver respiratory therapies and interventions based on physician orders and patient needs</li></ul><h3 class="jobSectionHeader">
Ventilatory &amp; Critical Care Support</h3><ul><li>
Monitor and manage patients receiving ventilatory support</li><li>
Identify and respond promptly to changes in cardiopulmonary status</li><li>
Support rapid intervention during emergent and critical care situations</li></ul><h3 class="jobSectionHeader">
Collaboration &amp; Communication</h3><ul><li>
Collaborate with physicians, nurses, and interdisciplinary team members to deliver coordinated patient care</li><li>
Communicate clearly and effectively regarding patient status and treatment plans</li><li>
Anticipate patient and team needs in a fast-paced clinical environment</li></ul><h3 class="jobSectionHeader">
Education &amp; Patient Support</h3><ul><li>
Educate patients and families on respiratory conditions, therapies, and care plans</li><li>
Facilitate group education sessions when appropriate</li><li>
Support patient engagement and promote long-term health outcomes</li></ul><h3 class="jobSectionHeader">
Professional Practice &amp; Compliance</h3><ul><li>
Maintain knowledge of regulatory standards, patient safety goals, and best practices</li><li>
Participate in quality initiatives and required education programs</li><li>
Uphold organizational values and maintain a strong commitment to patient-centered care</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
Graduate of an accredited Respiratory Therapy program</li><li>
Active Respiratory Therapist license in the state of Oregon</li><li>
Registered Respiratory Therapist (RRT) credential required</li><li>
Strong clinical knowledge and foundational respiratory care skills</li><li>
Ability to work effectively in a fast-paced hospital environment</li></ul><h2 class="jobSectionHeader">
Desired Qualifications</h2><ul><li>
CRASE training preferred (required if assignment exceeds six months)</li><li>
Experience in acute care or critical care settings</li><li>
Strong critical thinking, multitasking, and decision-making skills</li><li>
Ability to remain calm and focused in high-pressure situations</li><li>
Excellent communication and teamwork abilities</li><li>
Compassionate, patient-centered approach to care</li></ul><h2 class="jobSectionHeader">
Location &amp; Work Type</h2>
On-site position 
 
Night Shift: 7:00 PM &ndash; 7:30 AM
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. 
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Registered Respiratory Therapist (RRT)

<div>Executive Assistant II<h2 class="jobSectionHeader">
Role Summary:</h2>
We&rsquo;re seeking an experienced and highly organized Executive Assistant II to provide professional, proactive support to senior leadership in a dynamic and fast-paced environment. This role is ideal for someone who thrives on multitasking, values precision, and takes pride in keeping operations running smoothly. As an Executive Assistant, you will act as a trusted partner to executives, manage complex schedules, facilitate communication, and ensure the seamless execution of key initiatives.
This is a full-time, on-site role offering the opportunity to work closely with decision-makers and make a meaningful impact every day.<h2 class="jobSectionHeader">
Key Duties and Responsibilities:</h2><ul><li>
Provide high-level administrative and executive support to assigned leaders, maintaining confidentiality and professionalism at all times.</li><li>
Manage complex calendars &mdash; schedule, prioritize, and coordinate meetings, appointments, and events, using sound judgment to resolve scheduling conflicts.</li><li>
Plan, organize, and participate in administrative and board-level meetings, including arranging meeting logistics, preparing agendas, recording minutes, and ensuring timely follow-up on action items.</li><li>
Act as a liaison between executives and key internal and external stakeholders, including staff, board members, and partners.</li><li>
Prepare correspondence, reports, and presentations with attention to detail and accuracy.</li><li>
Exercise independent judgment in handling sensitive information and administrative matters that require discretion.</li><li>
Prioritize and manage multiple projects simultaneously, ensuring deadlines are met efficiently and effectively.</li><li>
Support event coordination, travel arrangements, and other executive-level administrative needs as required.</li></ul><h2 class="jobSectionHeader">
Required Qualifications:</h2><ul><li>
Minimum of 3 years of experience in executive, administrative, or office management support roles.</li><li>
Proven ability to manage executive calendars and coordinate multiple priorities.</li><li>
High school diploma or equivalent required (proof of education must be provided).</li><li>
Exceptional written and verbal communication skills.</li><li>
Strong organizational skills and a high level of attention to detail.</li><li>
Proficiency in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and other office productivity tools.</li></ul><h2 class="jobSectionHeader">
Desired Qualifications:</h2><ul><li>
Certified Administrative Professional (CAP) or Professional Administrative Certification of Excellence (PACE) preferred.</li><li>
Experience supporting senior executives or working in a healthcare or corporate environment is an asset.</li><li>
Ability to work both independently and collaboratively as part of a team.</li><li>
Professional demeanor with a proactive and solution-oriented mindset.</li></ul><h2 class="jobSectionHeader">
Compensation and Work Details:</h2><ul><li>
Schedule: Monday through Friday, 8-hour shifts</li><li>
Contract Duration: 3-month assignment</li><li>
Location: On-site in Irving, TX</li></ul>
#Workwolf</div>

Executive Assistant II

<div>Role Summary
The Social Worker provides compassionate and comprehensive case management services to patients, empowering them and their families to maintain independence and enhance quality of life. Working under the supervision of the Regional Social Work Manager, with guidance from the Center Director and support from the Social Work Lead, this role is an essential part of the team. The Social Worker delivers psychosocial assessments, care coordination, counseling, and referrals to community resources&mdash;ensuring patients receive the individualized support they need to thrive.
This is an excellent opportunity for a motivated, empathetic, and organized professional who values teamwork, meaningful connections, and making a direct impact on people&rsquo;s lives.
 Duties and Responsibilities
Clinical Practice &amp; Case Management<ul><li>
Exercise independent judgment to provide case management services for a panel of patients.</li><li>
Conduct comprehensive initial and routine psychosocial assessments to develop, implement, and update individualized care plans.</li><li>
Collaborate with caregivers and support systems to establish and deliver coordinated care plans.</li><li>
Identify psychosocial risks, challenges, and service needs; advocate, refer, coordinate, and follow up on patient support in a timely manner.</li><li>
Provide individual counseling to patients as needed.</li><li>
Facilitate family conferences and patient/caregiver support groups.</li><li>
Engage with the community to identify and access services that support patient well-being.</li><li>
Conduct discharge planning and coordination when a patient transitions out of the program.</li><li>
Participate in special events such as caregiver workshops and educational sessions.</li><li>
May review and verify assessments completed by other social work staff.</li></ul>
Team Collaboration<ul><li>
Serve as a primary liaison between patients, caregivers, the team, and community partners.</li><li>
Collaborate with external agencies such as healthcare plans, community-based organizations, and care facilities.</li><li>
Adhere to ethical and legal standards of social work practice.</li><li>
Comply with all organizational policies and procedures, including safety and confidentiality regulations.</li><li>
Complete all documentation promptly and accurately.</li><li>
Actively participate in team meetings, advocate for patient and caregiver needs, and contribute to collaborative care planning.</li><li>
Support continuous improvement efforts to enhance service quality and operational efficiency.</li><li>
Deliver 5-star service guided by compassion, respect, and professionalism.</li><li>
Perform other related duties as assigned.</li></ul>
 Required Qualifications<ul><li>
Master&rsquo;s degree in Social Work (MSW) from an accredited institution required.</li><li>
Bachelor&rsquo;s degree in Social Work may be considered with relevant experience and language proficiency.</li><li>
Minimum of one (1) year of experience working with frail or elderly populations.</li></ul>
Licenses and Certifications<ul><li>
Valid Social Worker license in the state of California (MSW &ndash; Medical Social Worker).</li></ul>
Knowledge, Skills, and Abilities<ul><li>
Experience and ability to work effectively with diverse populations.</li><li>
Skilled in collaborative teamwork and interdisciplinary care coordination.</li><li>
Strong interpersonal skills with the ability to build trust and rapport with patients, caregivers, and colleagues.</li><li>
Highly organized with the ability to prioritize, manage multiple tasks, and follow up thoroughly.</li><li>
Excellent verbal and written communication skills.</li><li>
Proficient in Microsoft Office and comfortable using electronic documentation systems.</li><li>
Bilingual ability may be required for specific assignments.</li><li>
Strong foundation in clinical practices and case management principles.</li></ul>
 Desired Qualifications<ul><li>
One (1) year or more of post-MSW experience.</li><li>
Prior experience in case management or healthcare settings.</li><li>
Familiarity with electronic health record (EHR) systems.</li></ul>
 Location and Work Type<ul><li>
Location: San Francisco</li><li>
Work Type: On-site, with responsibilities that may include visits to patient homes, community settings, and care facilities.</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. 
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Associate Clinical Social Worker (ACSW)

<div>We are seeking an experienced Texas Workers&rsquo; Compensation Claims Adjuster to join our team at our Irving, TX office. This role is primarily in-office, five days per week, with limited hybrid flexibility considered only for highly experienced adjusters who live farther from the office and have a proven ability to independently manage Texas claims.
This position requires strong technical knowledge of Texas Workers&rsquo; Compensation laws, confidence attending hearings, and the ability to manage a full caseload with minimal oversight.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>
Manage a full caseload of Texas Workers&rsquo; Compensation claims from inception through resolution</li><li>
Investigate claims, analyze coverage, determine compensability, and establish reserves</li><li>
Communicate effectively with injured workers, employers, medical providers, and legal representatives</li><li>
Prepare for and attend Workers&rsquo; Compensation hearings as required</li><li>
Ensure compliance with Texas Workers&rsquo; Compensation laws, regulations, and internal guidelines</li><li>
Maintain accurate and timely documentation within claims management systems</li><li>
Provide high-quality customer service while balancing cost containment and fair claim resolution</li></ul><h3 class="jobSectionHeader">
Work Schedule &amp; Location</h3><ul><li>
Primary expectation: In-office, 5 days per week</li><li>
Hybrid consideration may be given based on:<ul><li>
Distance from the Irving office</li><li>
Depth of Texas Workers&rsquo; Comp experience</li><li>
Demonstrated ability to manage claims independently</li></ul></li><li>
Candidates commuting 1 hour or more may be considered for hybrid only if experience level supports it</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Active Texas Workers&rsquo; Compensation Adjuster License<ul><li>
Must provide license number and expiration date</li></ul></li><li>
Minimum 3 years of experience handling Texas Workers&rsquo; Compensation claims<ul><li>
5+ years strongly preferred</li></ul></li><li>
Proven experience managing hearings and complex claims</li><li>
Strong written, verbal, and organizational skills</li><li>
Ability to work effectively in an in-office team environment</li></ul>
If you would like to apply email your resume
mpalkin@teemagroup.com
#Workwolf</div>

Workers’ Compensation Claims Adjuster (Texas)

Join TEEMA Group and explore 41   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

TEEMA Group

About Company

Healthcare Claims Representative REMOTE

Data Entry Clerk

Data Entry Clerk

Registered Respiratory Therapist (RRT)

Executive Assistant II

Associate Clinical Social Worker (ACSW)

Workers’ Compensation Claims Adjuster (Texas)