Remote Eligibility Verification Admin II

Maximus; Juneau (AK); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus seeks an Eligibility Verification Specialist to support the FEHB Verification Program. This Admin II role performs detailed reviews of enrollee-submitted documentation supporting FEHB eligibility for the Federal Employees Health Benefits Program.

Remote position with a 75-mile residency requirement near Lawrence, KS; contract award contingent. Responsibilities include document verification, maintaining case records, following privacy and security procedures, and ensuring deadlines and

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

• Reviews supporting documents for completeness and accuracy against eligibility requirements.
• Compares records, identifies missing or inconsistent information, and resolves routine discrepancies.
• Conducts outbound follow-up to request missing information and explain next steps.
• Maintains accurate case records, notes, and status updates in designated systems.
• Manages assigned workloads and follow-up activities to meet quality, productivity, and processing standards.
• Escalates complex or unresolved cases through established channels.
• Protects confidential information and follows applicable privacy, security, and document-handling procedures.

Education

High School diploma or equivalent

Job description

Maximus seeks an Eligibility Verification Specialist to support the FEHB Verification Program. This Admin II role performs detailed reviews of enrollee-submitted documentation supporting FEHB eligibility for the Federal Employees Health Benefits Program.

Remote position with a 75-mile residency requirement near Lawrence, KS; contract award contingent. Responsibilities include document verification, maintaining case records, following privacy and security procedures, and ensuring deadlines and