Remote Eligibility Verification Specialist

Maximus; Honolulu (HI); Remote; USD 19.000 - 26.000; Vollzeit

Zusammenfassung

Maximus is seeking an Eligibility Verification Specialist to support FEHB verification. This is a full-time, remote role within the United States, with residency within 75 miles of Lawrence, KS.

The position requires reviewing enrollee-submitted documentation for FEHB eligibility, maintaining case records, and handling confidential information in compliance with privacy and security standards. The role involves routine clerical tasks, outbound follow-ups, and collaboration with project and

Qualifikationen

• 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.
• Must be a U.S. Citizen.

Aufgaben

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

Jobbeschreibung

Maximus is seeking an Eligibility Verification Specialist to support FEHB verification. This is a full-time, remote role within the United States, with residency within 75 miles of Lawrence, KS.

The position requires reviewing enrollee-submitted documentation for FEHB eligibility, maintaining case records, and handling confidential information in compliance with privacy and security standards. The role involves routine clerical tasks, outbound follow-ups, and collaboration with project and