MEDICAL UNIT ADMINISTRATIVE ASSISTANT - 09252026-81323

State of Tennessee Job Information

LOCATION OF (1) POSITION(S) TO BE FILLED: BUREAU OF WORKERS' COMPENSATION, DAVIDSON COUNTY

This position is in the Medical Unit of the Bureau. 

Although some of the time may be considered for AWS (Alternate Work Solutions-remote working), it is not guaranteed and may be withdrawn at any time. The necessary equipment for AWS is provided but personal internet capabilities and unit staffing needs may influence the suitability and timing of AWS.

Education and Experience: Graduation from an accredited college or university with a bachelor's degree AND experience equivalent to three years of increasingly responsible full-time professional staff administrative experience.

Substitution of Experience for Education: Qualifying full-time increasingly responsible sub professional, paraprofessional, or professional experience may be substituted for the required education, on a year-for-year basis, to a maximum of four years.

Substitution of Education for Experience: Additional graduate coursework in public administration, business administration, or other acceptable field may be substituted for the required experience, on a year-for-year basis, to a maximum of two years.

OR

Two years of increasingly responsible professional administrative services experience with the State of Tennessee.

This position provides comprehensive administrative support for the Medical Unit programs, to include Utilization Review Appeals, The Medical Payment Committee, The Medial Advisory Committee, and technical support for the CMUR Portal.

1. Assist with maintaining and processing utilization review (UR) appeals by preparing and sending notifications, requesting and tracking medical records, organizing files, and preparing appeal decision letters within required timelines.
2. Keep electronic tracking systems current, including Microsoft Access spreadsheets, appeal trackers, contact logs, Global Search and other workflow documentation.
3. Research and route coverage, EDI, and compliance-related errors within established timelines, provide same-day customer communication, and follow up with internal departments as needed.
4. Assist with the Medical Payment Committee (MPC) by sending case notifications, organizing case materials, providing travel arrangements, preparing decision letters, drafting meeting minutes, and maintaining accurate committee records.
5. Assist with coordination of the Medical Advisory Committee (MAC) by sending notifications, providing travel arrangements, drafting minutes, and maintaining accurate committee records.
6. Assist with daily mail operations, to include outgoing mail, receiving, scanning and distributing incoming mail, and delivering checks to the Case Management Coordinator and the accounting team.

1. Administrative and Management
2. Economics and Accounting
3. Law and Government
4. Personnel and Human Resources
5. Customer and Personal Service

1. Active Learning and Listening
2. Critical Thinking
3. Management of Financial Resources 
4. Judgment and Decision Making
5. Management of Personnel Resources

Abilities:

1. Deductive Reasoning
2. Inductive Reasoning 
3. Problem Sensitivity 
4. Selective Attention 
5. Written Comprehension

1. Personal Computer
2. Telephone
3. Copy Machine
4. Scanner
5. Calculator