Remote Eligibility Verification Specialist

Maximus; Phoenix (AZ); 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 CSR II position provides inbound telephone support for dependent eligibility verification and portal access for enrollees.

The role requires a high school diploma or equivalent with 6 months of customer service experience, ability to authenticate callers, and to protect PII/PHI. Remote work is required within 50 miles of Lawrence, KS; contract award is contingent.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.
• May have additional training or education in area of specialization.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels.
• Responds to questions regarding dependent eligibility verification requirements, documentation, deadlines and case status.
• Assists enrollees with Portal access, login issues, and document upload.
• Authenticates callers and protects PII/PHI in line with privacy and security requirements.
• Documents each interaction in the FEHB Portal or other system of record.
• Escalates complex questions and potential fraud indicators per procedures.
• Meets attendance, schedule adherence, call quality, and documentation accuracy standards.

Skills

Customer service

Education

High School diploma or equivalent

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This CSR II position provides inbound telephone support for dependent eligibility verification and portal access for enrollees.

The role requires a high school diploma or equivalent with 6 months of customer service experience, ability to authenticate callers, and to protect PII/PHI. Remote work is required within 50 miles of Lawrence, KS; contract award is contingent.