Remote Eligibility Verification Specialist

Maximus; Pierre (SD); Remote; USD 19,000 - 26,000; Full time

Benefits offered by this job

Equipment provided

Equal opportunity employer

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB program compliance. This Admin II role involves reviewing enrollee documentation, performing clerical duties, and maintaining accurate case notes from a remote location within 75 miles of Lawrence, KS.

The ideal candidate has a high school diploma or equivalent with 1–3 years of related experience, strong attention to detail, and experience with electronic case records and data entry.

Qualifications

• High School diploma or equivalent is required 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 deadlines, learn program systems, and escalate when needed.

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 workloads to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information per privacy and security procedures.

Skills

Document verification

Data entry

Customer follow-up

Attention to detail

Privacy compliance

Communication

Record keeping

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 program compliance. This Admin II role involves reviewing enrollee documentation, performing clerical duties, and maintaining accurate case notes from a remote location within 75 miles of Lawrence, KS.

The ideal candidate has a high school diploma or equivalent with 1–3 years of related experience, strong attention to detail, and experience with electronic case records and data entry.