Reviewer

• 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

Reviewer jobs in New Hampshire

Medicaid Eligibility Case Reviewer