Clinical Assistant

Job overview

Clinical Assistant is a remote role within the United States, subject to BCBST’s state eligibility restrictions, with weekly rotating shifts of 7:30–4:00 p.m., 8:00–4:30 p.m., 8:30–5:00 p.m., and 9:00–5:30 p.m. EST. Compensation is not specified. The role supports BlueCare Plus Clinical Review Managers at BlueCross BlueShield of Tennessee. The assistant helps providers and healthcare partners navigate authorization and review processes through phone and administrative support. Accurate documentation, timely responses, and clear coordination contribute to the provider experience and smooth coordination of care.

What you'll do

• Screen incoming calls, faxes, and digital requests and route them appropriately
• investigate and resolve inquiries
• load and document authorization requests
• communicate authorization decisions and status
• request clarifying information
• identify diagnosis or procedure codes
• and support departmental reports and projects.

What we're looking for

Skills & competencies

clinical assistant

bluecross blueshield of tennessee

remote

chattanooga tn listing

bluecare plus

clinical review support

provider support

authorization requests

medical terminology

customer service

weekly rotating shifts

7:30 a.m.–5:30 p.m. est

Work arrangement

• Weekend coverage required

Why this role

Remote role with weekly rotating schedules and possible overtime based on business needs; high school diploma or equivalent and one year of customer service experience are required.

About the employer

BlueCross BlueShield of Tennessee is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.