The heavy lifting was done by the people who designed the modems for this stuff.
https://wsjt.sourceforge.io/MSK144_Protocol_QEX.pdfBut in short, you use a modulation technique where your short messages are sent very quickly, e.g. in 72ms. You then transmit in burts 15 seconds long, repeating your 72ms message over and over again. Hopefully a meteor zips by, if it does far away stations will get a signal from you.
Parties take turns transmitting in either even or odd timeslots and listening in the other. Communication goes pretty slowly but it goes. Every morning around sunrise the part of the earth you are on is facing into the earths orbit and there are a few meteors. It works better during showers.
The receiver for these modes is computationally expensive: there is no time for a fixed synchronization pattern like most digital communications methods use, so instead the rx side does a brute force search.
My first meteor scatter contacts were with a high gain vertical omni, but a directional antenna works much better.
The geometry of a meteor scatter path allow contacts that go about 2000 km but 1000km is easier and more common.
Participation is a limiting factor, when I'm working msk144 outside of a meteor shower I may only get one or two contact in a day or none at all. And it's not unusual to for a normal exchange (which is just CQ MYCALL MYGRID; MYCALL THEIRCALL THEIRGRID; THEIRCALL MYCALL ROGER; MYCALL THEIRCALL BESTREGARDS) to take an hour-- depending on the luck of the falling rocks.