Remote Eligibility Verification Admin II

Maximus; Annapolis (MD); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This Admin II role performs detailed reviews of enrollee-submitted documentation for FEHB eligibility verification.

It is a full-time, remote-capable position with requirements including a high school diploma and 1-3 years of relevant experience. The candidate will review documents, perform data entry, and maintain case records while ensuring privacy and security.

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, recognize discrepancies, and maintain accurate case notes during repetitive document-review work.
• Experience with electronic case records, document imaging, data entry, and workflow or work-queue systems.
• Clear written and verbal communication skills, including experience conducting customer follow-up calls and explaining documentation requirements.
• Experience handling confidential information and following privacy, security, and records management procedures.
• Ability to follow structured procedures, manage assigned deadlines, learn program systems, and recognize when a case requires escalation.

Responsibilities

• Review supporting documents for completeness and accuracy against eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies.
• Conduct outbound follow-up to request missing information and explain next steps.
• Maintain accurate case records, notes, and status updates in designated systems.
• Manage assigned workloads to meet quality and productivity standards.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information and follow privacy and security procedures.

Skills

Document verification

Data entry

Attention to detail

Customer follow-up

Privacy & security

Education

High School diploma or equivalent

Tools

Electronic case records

Document imaging

Workflow systems

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This Admin II role performs detailed reviews of enrollee-submitted documentation for FEHB eligibility verification.

It is a full-time, remote-capable position with requirements including a high school diploma and 1-3 years of relevant experience. The candidate will review documents, perform data entry, and maintain case records while ensuring privacy and security.