Remote Eligibility Verification Specialist - Admin II

Maximus; Jackson (MS); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus seeks an Eligibility Verification Specialist to support FEHB program verification for enrollee-submitted documentation. This Admin II role performs detailed reviews of eligibility materials and ensures compliance with established requirements.

The position is full-time and remote, with a requirement to reside within 75 miles of Lawrence, KS. A government background check and security clearances may be required upon contract award.

Qualifications

• 1–3 years of relevant experience with a high school diploma or equivalent.
• Experience reviewing benefits or eligibility documents against criteria.
• Strong attention to detail with accurate record-keeping and data entry.
• Experience with electronic case records and document imaging.

Responsibilities

• Review supporting documents for completeness against eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies.
• Conduct outbound follow-ups to request missing information and explain next steps.
• Maintain accurate case records and status updates in designated systems.
• Manage workloads to meet quality and productivity standards.
• Escalate complex cases through established channels.

Skills

Attention to detail

Written communication

Verbal communication

Confidential data handling

Time management

Education

High School diploma or equivalent

Associated training/education in area of specialization

Tools

Workflow systems

Job description

Maximus seeks an Eligibility Verification Specialist to support FEHB program verification for enrollee-submitted documentation. This Admin II role performs detailed reviews of eligibility materials and ensures compliance with established requirements.

The position is full-time and remote, with a requirement to reside within 75 miles of Lawrence, KS. A government background check and security clearances may be required upon contract award.