MES Solutions

QA Engineer

• Responsible for ensuring case reports are of the highest quality and integrity.
• Handle quality assurance questions and provide support to the Quality Assurance Department.
• Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
• Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
• Assist in resolution of client complaints and quality assurance issues as needed.

Clinical Quality Assurance Coordinator

Client Coordinator

• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information
• Utilize appropriate systems and databases to enter client or claimant information and or retrieve information
• Maintain daily contact with the QA department regarding workflow and pending report status
• Contact providers for assignment and update database
• File and archive open and closed cases
• Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system
• Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion
• Direct calls to other departments as needed
• Perform various clerical duties such as typing, filing, emailing, and proofreading
• Assist in resolution of customer complaints and quality assurance issue
• Notify management of any report issues or concerns
• Ensure all practices are carried out in accordance with state and federal safety and legal regulations
• Perform other duties as assigned.

• Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information
• Utilize appropriate systems and databases to enter client or claimant information and or retrieve information
• Maintain daily contact with the QA department regarding workflow and pending report status
• Contact providers for assignment and update database
• File and archive open and closed cases
• Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system
• Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion
• Direct calls to other departments as needed
• Perform various clerical duties such as typing, filing, emailing, and proofreading
• Assist in resolution of customer complaints and quality assurance issue
• Notify management of any report issues or concerns
• Ensure all practices are carried out in accordance with state and federal safety and legal regulations
• Perform other duties as assigned