Tennessee Licensed Clinical Assistant

Job Summary

Supporting BlueCare Clinical Support, the full-time Tennessee Licensed Clinical Assistant will manage phone-based provider support and fax-based administrative tasks to ensure timely and accurate service delivery for TennCare members in a remote environment.

Key responsibilities

• Screen and direct incoming calls and faxes for Utilization Management and Care Management, referring cases to the appropriate departments
• Investigate and resolve customer inquiries and claims while maintaining departmental goals
• Document and key data accurately into the appropriate systems, ensuring compliance with internal policies

Required qualifications

• High School Diploma or equivalent
• At least 1 year of customer service experience
• Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint)
• Knowledge of medical terminology and Utilization Management processes
• Ability to work independently and collaboratively in a fast-paced environment