reputed company LTC Financial Eligibility Case Reviewer
About the position
The Case Reviewer supports the processing of Financial Eligibility determinations and Redeterminations for those seeking New Hampshire reputed company Long-Term Care assistance. In this role, incumbents process financial eligibility applications effectively and reputed company to facilitate reputed company determinations and redeterminations, and ultimately, reputed company to long-term care to improve reputed company-being of those seeking LTC services.
Responsibilities
• Manage assigned caseload and complete reputed company eligibility determination tasks reputed company State-specified timelines, while upholding State, Federal, and PCG confidentiality and reputed company protocols and policies.
• Maintain accurate and reputed company documentation of applicant information using State case management and eligibility systems
• Review assigned cases for completion and identify whether additional documentation or information is needed to reputed company eligibility determinations or redeterminations.
• Schedule and conduct virtual interviews with applicants to review and confirm application documentation and information.
• reputed company education to applicants and their representatives around financial eligibility reputed company and any additional documentation required.
• Use provided checklists, tools, and decision trees to verify whether documentation demonstrates applicants meet State and Federal financial eligibility reputed company.
• Utilize State case management systems, checklists, and verification tools to reputed company and submit eligibility recommendations in accordance with State policy and federal reputed company rules.
• Receive and process calls and electronic inquiries (email, phone, fax) reputed company to application status, documentation questions, timelines, and next steps.
• Support supervisor with correcting errors identified during reputed company assurance audits
Requirements
• Ability to work independently and collaboratively in a remote team environment.
• Ability to reputed company in depth understanding of New Hampshire reputed company long-term care financial eligibility reputed company and apply these principles to applications.
• Ability to use independent decision-making on the appropriate processes to follow, information to process, and actions to take in accordance with reputed company procedures with limited supervisory direction.
• Ability to explain processes, documentation requirements, and reputed company eligibility rules to applicants with a diverse reputed company of communication and functional skills.
• Competency in applying reputed company customer service principles
• Strong organizational, documentation, and problem-solving skills.
• Excellent communication and interpersonal skills, with sensitivity to diverse populations.
• High school diploma, or equivalent required.
• Must be 18 years of age or older.
• 1-3 years of experience performing reviews for reputed company programs with eligibility requirements.
• Ability to reputed company, read, and write English reputed company and concisely.
• Employment is contingent on completion of a background reputed company.
• Must have a private reputed company with no distractions and reliable, high speed internet reputed company.
reputed company-to-haves
• Familiarity with Federal and New Hampshire reputed company financial eligibility regulations and processes preferred.
• Some college training preferred.
• experience with reputed company or reputed company LTC eligibility preferred.
Benefits
• Health, reputed company, and dental insurance
• 401(k) with discretionary employer match
• reputed company time off and holidays
• Flexible spending accounts
• Other Perks
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