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New Hampshire Medicaid Case Reviewer

Remote · Switzerland Full-time

To support the processing of financial eligibility determinations for New Hampshire Medicaid Long-Term Care assistance, the remote Medicaid LTC Financial Eligibility Case Reviewer will manage a caseload, conduct virtual interviews with applicants, and maintain accurate documentation while adhering to state and federal regulations. Key responsibilities

  • Manage assigned caseload and complete eligibility determination tasks within specified timelines while upholding confidentiality protocols
  • Schedule and conduct virtual interviews with applicants to review documentation and provide education on financial eligibility criteria
  • Utilize state case management systems to develop and submit eligibility recommendations in accordance with state policy and federal Medicaid rules

Required qualifications

  • High school diploma or equivalent; some college training preferred
  • 1-3 years of experience with eligibility reviews for public programs, preferably Medicaid or Medicaid LTC
  • Ability to communicate clearly in English, both verbally and in writing
  • Must have a private workspace and reliable high-speed internet connection
  • Employment is contingent on completion of a background check

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