ADMINISTRATIVE SERVICES ASSISTANT 3 - 06222026-78522

State Of Tennessee Job Information

City, State Location:Nashville, TNDepartmentLabor and Workforce Development

Education And Experience

Overview

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, to include outgoing mail, receiving, scanning and distributing incoming mail, and delivering checks to the accounting team.

Competencies (Ksa'S)

• Customer Focus
• Manages Complexity
• Action Oriented
• Interpersonal Savvy
• Nimble Learning

Knowledges

• Building and Construction
• Mechanical
• Customer and Personal Service
• English Language
• Engineering and Technology

Skills

• Active Learning and Listening
• Monitoring
• Reading Comprehension
• Writing
• Critical Thinking

Abilities

• Written Comprehension
• Inductive Reasoning
• Problem Sensitivity
• Speech Clarity
• Limb and/or Full Body Flexiblity

Tools & Equipment

• Computer/Printer
• Safety and Health Related Equipment

• Personal Protective Equipment

• Telephone/Cell Phone
• Motor Vehicle