Medicaid Eligibility Case Reviewer

Job not on LinkedIn

🔥 2 minutes ago

🗻 New Hampshire – Remote

🗻 New Hampshire – Remote

💵 $23 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Staffing Solutions Organization LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2017

🎯 Recruiter

🏛️ Government

💼 Consulting

Recruitment • Government • Consulting

Staffing Solutions Organization LLC is a staffing and talent‑management firm that delivers high‑impact recruiting and workforce solutions primarily for public‑sector agencies and organizations. The company’s services include rapid staffing and scaling, talent matching, and hands‑on consulting and program management to design, launch, and run workforce programs. Staffing Solutions markets nationwide reach (800+ experts), rapid scalability (examples of 140 hires in 24 days and 652 onboarded in 7 days), and claims 15,000+ staff recruited since 2017; it positions itself as a partner to help agencies maximize the potential of their people.

📋 Description

• Manage assigned caseload and complete eligibility determination tasks within State-specified timelines • Maintain accurate and timely applicant documentation using State case management and eligibility systems • Review cases for completeness and identify additional documentation or information needed • Schedule and conduct virtual interviews with applicants • Provide education about financial eligibility criteria and required documentation • Use checklists, tools, and decision trees to verify financial eligibility criteria • Develop and submit eligibility recommendations according to State policy and federal Medicaid rules • Process calls and electronic inquiries regarding application status, documentation, timelines, and next steps • Support supervisors in correcting errors identified during quality assurance audits

🎯 Requirements

• High school diploma, or equivalent required • Must be 18 years of age or older • 1–3 years of experience performing reviews for public programs with eligibility requirements • Experience with Medicaid or Medicaid LTC eligibility preferred • Ability to speak, read, and write English clearly and concisely • Employment is contingent on completion of a background check • Must have a private space with no distractions and reliable, high-speed internet connection • Ability to work independently and collaboratively in a remote team environment • Ability to understand and apply New Hampshire Medicaid long-term care financial eligibility criteria • Ability to explain processes, documentation requirements, and complex eligibility rules • Competency in applying quality customer service principles • Strong organizational, documentation, and problem-solving skills • Excellent communication and interpersonal skills • Familiarity with Federal and New Hampshire Medicaid financial eligibility regulations and processes preferred

🏖️ Benefits

• Health, vision, and dental insurance • 401(k) with discretionary employer match • Paid time off and holidays • Flexible spending accounts • Other perks