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Medical Reports Proofreader

Company: MES Solutions, Inc.
Location: Southfield
Posted on: May 3, 2021

Job Description:

OverviewDo you have experience with Medical Transcription, Civil Litigationcases orWorkers' Comp, Bodily Injury, and/or Disability Claims? Brimming with expertise in the medical, insurance and/or legal background and eager to apply it somewhere?Well, consider applying it for our Medical Reports Proofreader role (internally called a Quality Assurance Coordinator) position at Southfield, MI office.Our essential Medical Report Proofreader Coordinators reviews the internal Independent Medical Exams (IME) and Peer Review reports are completed at the highest level of quality and integrity. Not only ensuring they are in full compliance, but also handles the inquiries and provides strong support to the department.This role is a full time position with a standard work schedule Monday-Friday 9am-5pm with overtime as offered.ResponsibilitiesDUTIES: Performs quality assurance review of IME reports, correspondences, addendums or supplemental reviews. Review reports for grammar, medical terminologyand content accuracy. Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations. Ensures that all client instructions and specifications have been followed and that all questions have been addressed. Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications. Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards. Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report. Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists. Identifies any inconsistencies within the report and contacts the Provider to obtain clarification, modification or correction as needed.QualificationsREQUIREMENTS: High school diploma or equivalent required. Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability. Must have strong knowledge ofmedical terminology, anatomy and physiology, medications and laboratory values.QUALIFICATIONS Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. Must possess excellent skills in English usage, grammar, punctuation and style. Demonstrates accuracy and thoroughness. Must be able to work independently, prioritize work activities and use time efficiently. Must possess the ability to manage change, delays, or unexpected events appropriately.WHO WE ARE:MES Solutions, a respected pioneer of the independent medical examination (IME) and peer review services industry, is setting the standard for independent review services nationwide. We handle evaluations for a variety of property and casualty insurers, self-insureds and third-party administrators business lines such as: automotive, disability, liability, group health, long-term care, FMLA and workers' compensation. IME and Peer Review services play an important role in evaluating the appropriateness, medical necessity, cost, as well as certification of requests for care. IME services and Peer Review services are provided by MES Solutions, accredited by URAC for CORE Organizational Quality, and MES Peer Review Services, a URAC accredited Comprehensive Independent Review Organization, respectively.MES Solutions offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.MES is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.Equal Opportunity Employer - Minorities/Females/Disabled/VeteransTags:Insurance AdjusterParalegalCivil LitigationNo faultMedical TranscriptionistMedical TranscriptionAdjusterIMEClaims ExaminersMedical Scribe

Keywords: MES Solutions, Inc., Southfield , Medical Reports Proofreader, Other , Southfield, Michigan

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