Remote Eligibility Verification Specialist (Admin II)

Maximus; Lincoln (NE); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB compliance and verification programs. The role involves reviewing enrollee documentation for FEHB eligibility, performing routine clerical tasks, and maintaining accurate case records.

Remote work is allowed within 75 miles of Lawrence, KS, with equipment provided. Ideal candidates have a high school diploma with 1–3 years of experience, strong attention to detail, and experience with electronic case records, data entry,

Qualifications

• 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.

Responsibilities

• Review enrollment 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 and processing standards.
• Escalate complex cases through established channels.
• Protect confidential information according to privacy and security procedures.

Skills

Document verification

Attention to detail

Verbal and written communication

Confidential information handling

Education

High School diploma or equivalent

Tools

Electronic case records

Data entry systems

Workflow management

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB compliance and verification programs. The role involves reviewing enrollee documentation for FEHB eligibility, performing routine clerical tasks, and maintaining accurate case records.

Remote work is allowed within 75 miles of Lawrence, KS, with equipment provided. Ideal candidates have a high school diploma with 1–3 years of experience, strong attention to detail, and experience with electronic case records, data entry,