Clinical Assistant - BlueCross BlueShield of Tennessee : Job Details

BCBST is seeking a Clinical Assistant to join our Senior Care team. In this remote-first role, youll support our members and providers by managing authorization requests, determining whether authorizations are needed, and addressing any related questions based on plan coverage. Youll be joining a fully developed and collaborative clinical team. The ideal candidate will bring:Background in medical customer service, ideally within a clinical environment, medical office, or surgery center. Strong knowledge of medical terminology and ICD-10 codes. The ability to work independently with patience and professionalism. Job Responsibilities. Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department. Receiving, investigating and resolving customer inquiries and claims. Maintain departmental goals. Perform pro...Clinical, Assistant, Customer Service, Technology, Insurance, Skills