
201 - 500 employees
Founded 1978
🏥 Healthcare
⚖️ Legal
💼 Consulting
Healthcare • Legal • Consulting
MES Solutions is a provider of independent medical evaluation and peer review services for the claims and risk-management community. The company coordinates Independent Medical Examinations (IMEs), record retrieval and record reviews, peer review services, physician credentialing, and fitness-for-duty and disability assessment support. Its clients include insurers, third-party administrators, self-insured employers, government agencies, and attorneys across auto, disability, liability, workers' compensation, and group health markets, and it emphasizes compliance with HIPAA, HITECH, and HITRUST.
🔥 50 minutes ago
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201 - 500 employees
Founded 1978
🏥 Healthcare
⚖️ Legal
💼 Consulting
Healthcare • Legal • Consulting
MES Solutions is a provider of independent medical evaluation and peer review services for the claims and risk-management community. The company coordinates Independent Medical Examinations (IMEs), record retrieval and record reviews, peer review services, physician credentialing, and fitness-for-duty and disability assessment support. Its clients include insurers, third-party administrators, self-insured employers, government agencies, and attorneys across auto, disability, liability, workers' compensation, and group health markets, and it emphasizes compliance with HIPAA, HITECH, and HITRUST.
• Coordinate and prepare medical claims, records, referrals, and supporting documentation for review and processing • Retrieve and organize claim-related materials from multiple sources • Ensure required documents are complete, accurate, and compiled into comprehensive case files for external vendors and reviewers • Respond to client and representative inquiries regarding questions, report status, concerns, and information requests • Enter and retrieve client or claimant information using systems and databases • Maintain daily contact with the QA department regarding workflow and pending report status • Contact providers for assignment and update the database • File and archive open and closed cases • Verify client information is current and document client-specific guidelines, rules, and information in the system • Work independently and with team members to address questions, document work, and return cases promptly • Direct calls to other departments as needed • Perform clerical duties including typing, filing, emailing, and proofreading • Assist with customer complaints and quality assurance issues • Notify management of report issues or concerns • Ensure practices comply with state and federal safety and legal regulations • Perform other duties as assigned
• High school diploma or equivalent required • Minimum one year clerical experience; or equivalent combination of education and experience preferred • Experience in a medical office or insurance industry preferred • Complete knowledge of general computer, fax, copier, scanner, and telephone • Knowledge of Microsoft Word, Outlook, Excel, and the Internet • Ability to be trained on and adhere to HIPAA regulations and compliance standards • Qualified typist with a minimum of 40 W.P.M. • Ability to follow instructions and respond to management's directions accurately • Accuracy, thoroughness, responsibility for quality of work, and initiative to identify improvements • Exceptional communication skills • Ability to work independently, prioritize work activities, and use time efficiently • Ability to maintain confidentiality • Ability to demonstrate and promote a positive team-oriented environment • Ability to stay focused and concentrate under normal or heavy distractions • Ability to work well under pressure and/or stressful conditions • Ability to manage change, delays, or unexpected events appropriately • Ability to follow all company policies and procedures
• Competitive pay: $17 per hour • Competitive benefits • Paid time off • 401k
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