MES Solutions
National Leader in Independent Evaluation Services
 

Corporate Headquarters

MES Solutions
9400 Grogans Mill Road
Suite 305
The Woodlands
Houston, TX 77380-3642

Independent Medical Exam (IME)
1-800-942-5637

Medical Peer Review
1-800-706-8427

Utilization Review:
1-888-868-2087

URAC Accredited Independent Review

Job Title

Quality Analyst

Job Code

060.243-1

Report To

Office Manager

FLSA: 2

General Job Summary

Reads medical/legal reports and assures quality of reports. Implements procedures necessary to have reports signed and mailed to client in a timely manner. Regular judgment is required in the execution of job functions

Essential Job Functions

  • Calls in verbal reports after physician has seen examinee
  • Reads medical/legal reports to assure no grammatical, typographical or compositional errors by making corrections on the computer
  • Follows-up on physicians' requests for additional records and tests
  • Obtains signatures of physicians to finalize reports. Arranges delivery of final reports to clients in an efficient and timely manner
  • Resolves any questions with physicians, transcription department and accounting department, and/or management pertaining to reports
  • Acts as liaison and company representative between clients and physicians
  • Reviews chart to verify accuracy of examinee name, file number, case type and other identifying information by proofing face sheet to report
  • Trains and informs physicians as to company policies and procedures
  • Provides assistance in a courteous, quick manner; treats others with care and respect, maintaining privacy and confidentiality

Additional Duties and Responsibilities

  • May entertain clients and/or physicians
  • May open and close office when necessary
  • Perform other duties as assigned or required

Knowledge/Skills/Abilities (required)

  • Familiar with insurance claims, legal issues, and medical terminology to converse intelligently with physicians, lawyers, adjusters, other staff members; as well as reading and interpretation of medical/legal reports
  • Communication skills necessary to provide information in a comprehensible and timely fashion (oral and written)
  • Interpersonal skills to work productively with physicians, staff members and clients
  • Proficient keying skills for editing reports in the computer on a daily basis
  • Ability to concentrate and pay close attention to detail for up to eighty percent of work time when reviewing reports for completeness and accuracy, completing deficiencies in the report and the like
  • Knowledge of company policies and procedures

Working Conditions

  • Normal office environment with some exposure to moderate noise from office equipment and/or generated by staff members
  • Extended hours may be required beyond the regular eight hour work day
  • Frequently utilizes computer, printer, copy machines, telephone and fax machine
  • Occasionally lifting and/or carrying such items as charts up to approximately twenty-five pounds. Generally sedentary work but requires walking and standing up to approximately twenty percent of work time in carrying out job functions such as distributing reports for final review, signature and questions

Minimal Level of Preparation and Training

  • High school diploma or general education degree (GED) with background in medical terminology or legal issues usually acquired through one to two year program from a college or school; or one to two years related experience and/or training in a medical or legal field; or equivalent combination of education and experience