Jobs at MES Solutions

Reviews peer review reports for clinical accuracy, completeness, evidence-based support, regulatory compliance, proper credentials, and adherence to client specifications. Identifies inconsistencies, coordinates corrections with peer reviewers, supports complaint resolution, and advises management on consultant quality and compliance. The role is fully remote and requires an active RN license, clinical knowledge, strong writing and communication skills, confidentiality, and proficiency with Microsoft Office.

Reviews peer review reports for clinical accuracy, completeness, evidence-based support, regulatory compliance, client requirements, proper credentials, and professional quality. Identifies inconsistencies, coordinates corrections with peer reviewers, assists with customer complaints and quality issues, and advises management on consultant quality and compliance. The role requires an active RN or LPN license, clinical knowledge, strong written communication, computer proficiency, and independent work skills. It is fully remote with occasional weekend and holiday work.

Reviews peer review reports and medical documentation for accuracy, completeness, evidence-based rationales, regulatory compliance, proper credentials, citations, and adherence to client specifications. Identifies inconsistencies, coordinates corrections with peer reviewers, supports complaint resolution, and advises management on consultant quality and compliance. The role is fully remote and requires strong clinical knowledge, confidentiality, communication, typing, and Microsoft Office skills.

Performs quality assurance reviews of peer review reports to ensure clinical accuracy, evidence-based rationales, client requirements, professional standards, provider credentials, and federal and state regulatory compliance. Identifies inconsistencies, coordinates corrections with peer reviewers, supports complaint resolution, advises management on consultant quality and compliance, and participates in training. The position is fully remote with occasional weekend and holiday work.

Coordinates medical claims, records, referrals, and supporting documentation for review and processing. Retrieves and organizes materials, maintains case files and databases, communicates with clients and providers, tracks report status, handles inquiries and complaints, performs clerical tasks, and ensures accurate, timely, confidential work compliant with applicable regulations and HIPAA standards.

Coordinates medical claims, records, referrals, and supporting documentation for independent medical examination and peer review cases. Retrieves and organizes materials, maintains accurate databases and case files, responds to client inquiries, contacts providers, tracks report status, and supports quality assurance. The role also performs clerical duties, routes calls, addresses complaints, protects confidential information, and follows HIPAA and legal compliance requirements.

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.

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.

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.

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.

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.