LTSS Specialist

A company is looking for an LTSS Specialist I to support care coordination and improve member healthcare experiences.

Key Responsibilities

Ensure compliance with contractual obligations and government regulations

Review and complete reports as directed by management

Manage services on person-centered support plans and collaborate with Care Coordinators

Required Qualifications

High School Diploma or equivalent

2 years of experience in claims or customer service

Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint)

Solid knowledge of provider reimbursement methodologies and coding guidelines