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Eligibility Reviews Specialist Jobs

Eligibility Specialist Trainee/I/Ii - South Lake Tahoe
By County of El Dorado At South Lake Tahoe, CA, United States
OR- Two (2) years of full-time experience determining eligibility for health programs, loans, financial assistance, unemployment, or other benefits;
Enter and retrieve numerical and narrative data and issue benefits from an automated computer system.
Analyze financial and eligibility information to determine initial or continuing eligibility for multiple aid programs.
Ensure accuracy and completion of application and declaration forms.
Resolve discrepancies by securing documentation, medical records, and confirmation from other agencies.
Evaluate clients for and answer questions on Advanced Payment Tax Credits related to health care reform.
Book Reviews Editor For Buddhadharma: The Practitioner's Guide
By Lion's Roar At United States
Buddhadharma is hiring a Book Reviews Editor
is looking for a book reviewer to curate and write the journal’s “
Submission deadline: Submissions are being accepted now
Eligibility Specialist Jobs
By Texas Children's Hospital At , Houston, 77001
2 years previous experience working at or with an HMO or MCO organization required
A bachelor's degree may substitute for the years of required work experience
Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption
High school diploma or GED required
Manually update member eligibility data in the claims processing system using multiple sources for reference, including applications, databases, and reports
Research and resolve member eligibility issues thoroughly, timely, and accurately
Eligibility Specialist Jobs
By Maximus At , Jeffersonville, 47130 Up to $18 an hour
Perform managed care enrollment activities on the Welfare Management System (WMS).
Evaluate State of Health managed care issues and make next step determinations.
Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Eligibility Specialist - Remote ($17.00 - $17.45 / Hour)
By Talentify.io At United States
Upload scanned images into the document management system.
1+ year of Call Center Experience
Provide 2-3 professional references if requested (managers/supervisors/leadership)
Receive and screen applications, and follow-up with customers to gather any missing information.
Verify income, calculate income, determine eligibility, and process case referrals.
Index and scan returned forms.
Eligibility Recertification Specialist Jobs
By District of Columbia Housing Authority At , Washington $26.70 - $34.84 an hour
Determines priority of eligible applicants for housing selection and coordinates applicant placement with housing managers.
Prepares and mails application for continued occupancy to residents with reasonable written notice of actions needed to complete their recertification timely;
Prepares recommendations for improvement or correction of deficient recertification activities;
Review, approve and reject applications for housing based on federal and agency regulations;
Counsels' prospective tenants on the policies and procedures relative to obtaining and maintaining a unit.
Determines residents who qualify for Earned Income Disregard (EID) exclusions;
Eligibility Specialist Jobs
By Sherburne County, MN At , Elk River, 55330 $49,067 - $68,702 a year
Desirable Knowledge, Skills, and Abilities
Sherburne County offers a comprehensive benefits package, including:
Knowledge of Federal and State structure, rules and policies governing Income Maintenance Programs.
Performs job responsibilities in a manner consistent with the County's vision, mission, and values.
Informs immediate supervisor of all-important matters pertaining to assigned job responsibilities.
The primary responsibilities for this position will be performed approximately 100% of the time indoors.
Remote - Patient Eligibility Specialist
By One Medical At United States
1+ year experience in complex health insurance verification, medical billing, or patient eligibility determination
1+ year experience working in a high volume call role
Experience using salesforce.com or similar CRM tools, preferred but not required
Calling existing patients to help them change their provider to One Medical with their insurance plan.
Communicating with insurance company call center representatives to resolve issues with patient eligibility
Following communication "scripts" when handling different topics
Eligibility Specialist Jobs
By Housing Counseling Services At , Washington $60,000 - $70,000 a year
Respond to emergency needs of clients along in collaboration with program social worker and case manager;
Experience working with special needs populations;
Strong oral and written communication skills;
Knowledge of housing law or capacity to learn;
Complete applications and eligibility determinations for consumers and/or households applying to HCS for financial and/or housing assistance;
Apply federal, state, and local regulation towards determining eligibility for housing and support services programs;
Reviews Editor, Productivity Products & Services (Remote)
By Forbes Advisor At Jersey City, NJ, United States
Strong communication and task management skills in a remote work environment, with a distributed team that works across time zones
Experience reviewing productivity products and services, including but not limited to CRM, product management and task management
Experience with SEO best practices, willingness to learn and expand SEO skills
At least 2 years experience in small business journalism, preferably in the applicable product reviews space
3-5 years of experience in online journalism
Research products and services, focusing on use case, price and other metrics relevant to readers in the market to buy
Reviews Editor, Hr Products & Services (Remote)
By Forbes Advisor At Jersey City, NJ, United States
Strong communication and task management skills in a remote work environment, with a distributed team that works across time zones
Experience with SEO best practices, willingness to learn and expand SEO skills
At least 2 years experience in small business journalism, preferably in the applicable product reviews space
Experience reviewing HR products and services, including but not limited to payroll and human resources information systems
3-5 years of experience in online journalism
Research products and services, focusing on use case, price and other metrics relevant to readers in the market to buy
Eligibility Specialist I Jobs
By The State of Florida At , Largo, 33770 $32,760 a year
Computer Skills (CLIK) – A basic computer literacy test, assessing knowledge of internet browsers, email, chat, and word processing.
Basic Competency (CBST) – A test of basic math, verbal, and communication skills, designed to assess job readiness and trainability.
If you experience problems applying online, please call the People First Service Center at (877) 562-7287.
Benefits of Working for the State of Florida:
For a more complete list of benefits, visit www.mybenefits.myflorida.com.
Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance.
Eligibility Specialist Jobs
By NorthWest Senior and Disability Services At , Dallas $3,982 a month
Qualifications - Education and Experience
Meet the needs of consumers, follow through, meeting deadlines, and maintain skills and knowledge to perform the job.
Apply the required knowledge and skills and exhibit critical thinking and problem solving.
Exhibit good work habits, including organizational skills, regular attendance, working independently, seeking and offering assistance when needed.
Work or volunteer experience working directly with consumers in social service type settings. Experience can be substituted for education.
Any combination of related education and relevant work experience equaling at least 4 years.
Eligibility Appeals Specialist Jobs
By Arizona Healthcare At , $46,000 a year
Knowledge, Skills & Abilities (KSAs):
Use logic, problem solving techniques, and analytical skills
Must have a high school diploma or General Equivalency Diploma (G.E.D) and 3 years of customer service experience.
A top-ranked retirement program with lifetime pension benefits
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
Defined benefit plan that provides for life-long income upon retirement.
Financial Eligibility Specialist (Human Services Specialist 3) Medford
By Department of Human Services At , Medford $3,265 - $4,913 a month
Initiate contact with ongoing long term care recipients as required to complete their annual financial recertification.
Redetermine ongoing financial eligibility for benefits by reviewing application packets and other supplemental data as required by current policy.
Experience working in a team environment.
THIS IS WHAT YOU NEED TO QUALIFY/MINIMUM QUALIFICATIONS (MQ's):
Provide choice counseling and facilitate referrals to SHIBA, Medicare and community programs as appropriate.
Write case notes in all circumstances as required by program or policy rules.
Dhs/Dfcs - Economic Support Cons 2 (Revenue Maximization Djj Eligibility Specialist) 00164920
By State of Georgia At , Clayton
TO APPLY PLEASE VISIT THE LINK BELOW
Applicants who do not apply using the dhsjobs link provided will NOT be considered.
For other DHS career opportunities, please visit: http://dhsjobs.dhs.ga.gov
Eligibility Verification Specialist Jobs
By NYC HRA/DEPT OF SOCIAL SERVICES At , Manhattan, 10048 $53,057 - $61,015 a year
Knowledge of Welfare Management System (WMS), Paperless Office System (POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY).
Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.
Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.
Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.
9:00 am to 5:00 pm
Eligibility Verification Specialist Jobs
By White River Health At , Batesville, 72501

Location: White River Health · *WRMC-Clinic Billing (002.6240) Schedule: Full-time, Days, M-F 8:00-4:30

Software Engineer, Reviews Jobs
By Klaviyo At , Boston
You will work closely Product, Design, and Data Science to provide the best experience for our customers
Skilled at reading and understanding code, across a variety of codebases.
Has experience developing full stack
Experience building, improving and iterating on products (Nice to have)
experience building, improving and iterating on products (Nice to have)
. Additional information regarding benefits can be found at
Eligibility Specialist Jobs
By Ascendo Resources At Tampa, FL, United States
Conduct client interviews and collect detailed information on their business and experience
Research governmental mandates and information to supplement ERC eligibility on a case-by-case basis
Research specific orders that caused disruption to client’s business operations
Analyze and interpret data gathered to guide decision making
Create reports to summarize research findings and the implications of the results
Perform compliance reviews to ensure accuracy and completeness

Are you looking for an exciting opportunity to use your skills to make a difference? We are looking for an Eligibility Reviews Specialist to join our team and help us ensure that our clients receive the best possible service. You will be responsible for reviewing and verifying eligibility for services, providing customer service, and ensuring compliance with applicable regulations. If you are detail-oriented, have excellent communication skills, and are passionate about helping others, this could be the perfect job for you!

Overview:

Eligibility Reviews Specialists are responsible for ensuring that applicants meet the eligibility requirements for a particular program or service. They review applications and other documents to determine if applicants meet the criteria for acceptance. They also provide guidance and assistance to applicants to ensure that they are able to meet the eligibility requirements.

Detailed Job Description:

Eligibility Reviews Specialists are responsible for reviewing applications and other documents to determine if applicants meet the eligibility requirements for a particular program or service. They must be knowledgeable about the eligibility criteria and be able to interpret and apply it to each individual case. They must be able to communicate effectively with applicants and provide guidance and assistance to ensure that they are able to meet the eligibility requirements. They must also be able to document their decisions and provide detailed reports to management.

What is Eligibility Reviews Specialist Job Skills Required?

• Knowledge of eligibility criteria and regulations
• Excellent communication and interpersonal skills
• Ability to interpret and apply eligibility criteria
• Ability to provide guidance and assistance to applicants
• Ability to document decisions and provide detailed reports
• Computer literacy

What is Eligibility Reviews Specialist Job Qualifications?

• Bachelor’s degree in social work, public administration, or a related field
• Previous experience in a similar role
• Knowledge of relevant laws and regulations

What is Eligibility Reviews Specialist Job Knowledge?

Eligibility Reviews Specialists must have a thorough knowledge of the eligibility criteria and regulations for the program or service they are reviewing. They must be able to interpret and apply the criteria to each individual case. They must also be knowledgeable about relevant laws and regulations.

What is Eligibility Reviews Specialist Job Experience?

Previous experience in a similar role is preferred for Eligibility Reviews Specialists. Experience in social work, public administration, or a related field is also beneficial.

What is Eligibility Reviews Specialist Job Responsibilities?

• Review applications and other documents to determine if applicants meet the eligibility requirements
• Provide guidance and assistance to applicants to ensure that they are able to meet the eligibility requirements
• Document decisions and provide detailed reports to management
• Monitor changes in eligibility criteria and regulations
• Maintain accurate records of all applications and decisions