MEDICAL UNIT ADMIN. ASST. - 08052026-79942

Location: Nashville, TN (Davidson County) – Labor & Workforce Development. This position is in the Medical Unit of the Bureau. Although some remote work (Alternate Work Solutions) may be considered, it is not guaranteed and may be withdrawn at any time. Necessary equipment for remote work is provided, but personal internet capabilities and unit staffing needs may influence suitability and timing.

Pay

$4,057.00 - $6,099.00 monthly ($48,684.00 - $73,188.00 annually)

Schedule

Full-Time

Qualifications

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.

Responsibilities

• Manage MIR Program intake, including sending receipt confirmations, determining eligibility, creating case files, issuing 100-mile physician lists, and coordinating with the Program Coordinator on objections, physician selections, and strike list requests.
• Assist with daily operations of the MIR and CPP Registries, including scheduling, obtaining physician licensing/disciplinary documentation, and releasing MIR reports.
• Maintain the Utilization Review (UR) mailbox and process UR appeals by sending notifications, requesting and tracking medical records, organizing files, and preparing appeal decision letters within required timelines.
• Keep electronic tracking systems current, including Microsoft Access spreadsheets, appeal trackers, contact logs, and other workflow documentation.
• Complete indexing and global search processes for UR Appeal files, including adding required documents, validating searchability, closing trackers, and securely disposing of paper and digital files.
• 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.
• Support 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.
• Assist with daily mail operations, including outgoing mail, receiving, scanning and distributing incoming mail, and delivering checks to the accounting team.

Skills

Competencies

• Communicates Effectively
• Manages Complexity
• Manages Conflict
• Cultivates Innovation
• Motivating Others
• Decision Quality

Knowledges

• Administrative and Management
• Economics and Accounting
• Law and Government
• Personnel and Human Resources
• Customer and Personal Service

Skills

• Active Learning and Listening
• Critical Thinking
• Management of Financial Resources
• Judgment and Decision Making
• Management of Personnel Resources

Abilities

• Deductive Reasoning
• Inductive Reasoning
• Problem Sensitivity
• Selective Attention
• Written Comprehension

Tools & Equipment

• Personal Computer
• Telephone
• Copy Machine
• Scanner
• Calculator