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reputed company LTC Financial Eligibility Case Reviewer

Remote, USA Full-time Posted 2026-07-28
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 Apply tot his job Apply To this Job

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