Jobs at MES Solutions

Provide administrative and clerical support including printing, scanning, preparing and distributing documents, managing outgoing mail, scheduling translation and transportation, making reminder calls, emailing clients, and maintaining confidential document handling and organization.

Reviews peer review reports for clinical accuracy, completeness, evidence-based rationale, client compliance, provider credentials, and adherence to ERISA and state mandates. Identifies inconsistencies, coordinates corrections with peer reviewers, supports complaint resolution, and advises management on consultant quality and compliance. Requires an active RN or LPN license, clinical knowledge, strong writing and communication skills, typing proficiency, computer literacy, confidentiality, and the ability to work independently in a fully remote Monday-through-Friday schedule with rotating weekends.

Respond to client and provider inquiries, enter and track client data, maintain files, liaise with QA, perform clerical tasks (typing, filing, emailing), ensure HIPAA compliance, and assist with quality issue resolution.

Provide remote clerical and client-facing support by responding to inquiries, entering and tracking data, assigning cases to reviewers, following up on submissions, filing and maintaining records, and ensuring compliance with regulatory and company standards (including HIPAA).

Perform remote QA review of peer review reports to ensure clinical accuracy, regulatory and client compliance, proper citations, reviewer credentialing, and professional formatting. Identify inconsistencies, coordinate corrections with peer reviewers, assist with customer complaints, and support management on consultant quality and training.

Provide remote client support by handling inquiries, entering and tracking data, contacting providers, maintaining records, assisting QA, performing clerical tasks, and ensuring HIPAA-compliant documentation and timely case resolution.

Reviews peer review reports for accuracy, completeness, evidence-based rationale, proper citations, credentials, signatures, specialty compliance, and adherence to client, ERISA, state, and federal requirements. Identifies inconsistencies, coordinates corrections with peer reviewers, assists with complaints and quality issues, advises management on consultant compliance and availability, and supports training and process quality. This is a fully remote Monday-through-Friday role for an actively licensed RN.

Provide remote client support and administrative coordination for medical exam and peer review services. Respond to client inquiries, update databases, contact providers, file cases, liaise with QA, ensure compliance with HIPAA and legal regulations, and perform clerical tasks to maintain timely, accurate case handling.

Coordinate and prepare medical claims and supporting documentation, retrieve and organize materials from multiple sources, compile comprehensive case files, respond to client inquiries, maintain database accuracy, liaise with QA and providers, perform clerical tasks, ensure HIPAA compliance, and support timely case submission.

Remote Client Coordinator responsible for coordinating case assignments between reviewers and clients, tracking deadlines, communicating via email, maintaining databases, proofreading reports, and ensuring HIPAA-compliant, timely, high-quality deliverables.

Review and quality-assure peer review case reports to ensure clinical accuracy, compliance with client/specifications and federal/state mandates, verify citations and credentials, resolve issues with reviewers, support complaint resolution, and advise management on consultant quality and compliance.

Review and ensure clinical peer review reports meet client specifications, regulatory mandates, and company quality standards. Verify clinical citations, provider credentials, specialty alignment, and report accuracy; communicate with peer reviewers for corrections; assist with complaints, training, and quality improvement.

Coordinate and compile medical claims, records, referrals, and supporting documentation for review. Retrieve and organize materials from multiple sources, maintain case files and databases, respond to client inquiries, liaise with QA and providers, perform clerical tasks, ensure HIPAA compliance, and assist with quality assurance and report issue resolution.

Remote RN/LPN role performing quality assurance of peer review reports: verify clinical rationale, compliance with client instructions, regulatory mandates, citations, reviewer credentials, resolve inconsistencies, support complaint resolution, and provide quality insights to management.