Jobs at MES Solutions

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.

Prepare, compile, and organize medical claims, records, referrals, and supporting documentation for review. Respond to client inquiries, enter and verify data in systems, coordinate with QA and providers, file and archive cases, perform clerical tasks (typing, emailing, proofreading), ensure HIPAA compliance, and escalate report issues to management.

Review and QA peer review reports to ensure clinical accuracy, compliance with client specifications and federal/state mandates, verify citations and credentials, resolve inconsistencies, assist with complaint resolution, and provide feedback to management to maintain report quality and regulatory adherence.

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.

Perform QA review of peer review reports to ensure clinical accuracy, compliance with client instructions, regulatory and state/federal mandates, proper citations, credential verification, and professional report quality. Identify inconsistencies, coordinate corrections with peer reviewers, assist with complaint resolution, and provide quality insights to management.

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.

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.

Remote RN/LPN role performing quality assurance of peer review reports to ensure clinical accuracy, regulatory and client compliance, proper citations, reviewer credentials, and report quality. Work with peer reviewers to resolve inconsistencies, assist with complaints, support management on consultant quality, and participate in training. Full-time Monday–Friday with occasional weekends.

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.

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.

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.

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.

Review and quality-assure peer review case reports to ensure clinical accuracy, regulatory and client compliance, appropriate citations, reviewer credentials, and professional formatting. Identify inconsistencies, coordinate corrections with peer reviewers, assist with complaint resolution, provide QA insights to management, and participate in training to promote consistent, high-quality deliverables.

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).