Remote Eligibility Verification Specialist

Maximus; Madison (WI); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB compliance and verification for the Federal Employees Health Benefits Program. This Admin II Operations role requires detailed documentation review and routine clerical tasks in a remote setting with proximity to Lawrence, KS or within 75 miles.

The position emphasizes accuracy, data entry, and adherence to privacy and security procedures, with background checks and U.S. citizenship requirements noted.

Qualifications

• High School diploma or equivalent with 1-3 years of experience.
• Experience reviewing benefits, eligibility, insurance, or other supporting documentation against established criteria.
• Clear written and verbal communication skills and ability to follow structured procedures.
• Ability to handle confidential information and meet deadlines.
• Regular and predictable attendance is required.
• Must be a U.S. Citizen and able to obtain/maintain government suitability.

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 and status updates in designated systems.
• Manage workloads to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases via established channels.
• Protect confidential information following privacy and security procedures.

Skills

Attention to detail

Data entry

Communication skills

Privacy and security practices

Customer follow-up

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 FEHB compliance and verification for the Federal Employees Health Benefits Program. This Admin II Operations role requires detailed documentation review and routine clerical tasks in a remote setting with proximity to Lawrence, KS or within 75 miles.

The position emphasizes accuracy, data entry, and adherence to privacy and security procedures, with background checks and U.S. citizenship requirements noted.