Eligibility Verification Specialist - Remote

Maximus; Nashville (TN); Remote; USD 22,000 - 33,000; Full time

Benefits offered by this job

Equipment provided

Remote work within 50 miles of Lawerce

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB verification program. This Admin II Operations role involves detailed reviews of enrollee-submitted documentation for FEHB eligibility and benefits.

This is a full-time remote role; candidate must reside within 50 miles of Lawrence, KS. The position is contingent upon contract award and requires a government background check and U.S. citizenship.

Qualifications

• High School diploma or equivalent with 1–3 years of experience.
• Experience reviewing benefits, eligibility, insurance, or other supporting documentation against established criteria.
• Strong attention to detail and ability to compare records and maintain accurate notes during repetitive review work.
• Experience with electronic case records, document imaging, data entry, and workflow or work-queue systems.
• Clear written and verbal communication, including customer follow-up and documenting requirements.
• Experience handling confidential information and following privacy and security procedures.
• Ability to follow structured procedures, manage deadlines, and escalate when needed.
• Regular and predictable attendance is required.
• Must be able to obtain and maintain a Moderate Risk Public Trust suitability and pass government background checks.
• Must be a U.S. Citizen.

Responsibilities

• Review supporting documents for completeness and accuracy against eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies using established procedures.
• Conduct outbound follow-up to request missing information and explain next steps.
• Maintain accurate case records, notes, and status updates in designated systems.
• Manage workloads and follow-up activities to meet quality and processing standards.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information and follow privacy, security, and document-handling procedures.
• Perform repetitive clerical steps and provide administrative support to project and operations management.

Skills

Attention to detail

Data entry

Customer follow-up

Written communication

Privacy compliance

U.S. Citizenship

Public Trust suitability

Attendance reliability

Education

High School diploma or equivalent

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB verification program. This Admin II Operations role involves detailed reviews of enrollee-submitted documentation for FEHB eligibility and benefits.

This is a full-time remote role; candidate must reside within 50 miles of Lawrence, KS. The position is contingent upon contract award and requires a government background check and U.S. citizenship.