Remote Eligibility Verification Specialist - FEHB Program

Maximus; Frankfort (KY); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB program compliance. This Admin II role performs detailed reviews of enrollee-submitted documentation for dependent eligibility verification and related administrative tasks.

The position is full-time and remote, requiring residence within 75 miles of Lawrence, KS. Candidates must meet education and background requirements and be prepared for government background checks and security requirements.

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.

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 and follow-up to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases through established channels.

Skills

Attention to detail

Document verification

Data entry

Verbal communication

Written communication

Privacy & security

Education

High School diploma or equivalent

Tools

Document imaging

Case management systems

Workflow systems

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB program compliance. This Admin II role performs detailed reviews of enrollee-submitted documentation for dependent eligibility verification and related administrative tasks.

The position is full-time and remote, requiring residence within 75 miles of Lawrence, KS. Candidates must meet education and background requirements and be prepared for government background checks and security requirements.