Remote Eligibility Verification Specialist (FEHB/PSHB)

Maximus; Frankfort (KY); Remote; USD 20,000 - 28,000; Full time

Benefits offered by this job

Equipment provided

Remote work within specified radius

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This CSR II role handles inbound calls for dependent eligibility verification and helps enrollees with Portal access and documentation.

Remote work is required within 50 miles of McAllen, TX, with equipment provided. The position supports federal enrollees and requires U.S. citizenship and a background check.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.
• May have additional training or education in area of specialization.
• Must be able to obtain and maintain a Moderate Risk Public Trust (5C) suitability determination and pass background investigations.
• U.S. Citizen required.

Responsibilities

• Provide inbound telephone support for FEHB/PSHB program enrollees.
• Assist enrollees with Portal access, document submission, and navigation of resources.
• Authenticate callers and protect PII/PHI per privacy/security requirements.
• Document interactions accurately in the FEHB Portal or system of record.
• Escalate complex questions and potential fraud indicators per procedures.
• Meet attendance, schedule adherence, call quality and documentation standards.

Skills

Customer service

Phone support

Data entry

Attention to privacy

Portal navigation

Education

High school diploma

Tools

OPM FEHB Portal

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This CSR II role handles inbound calls for dependent eligibility verification and helps enrollees with Portal access and documentation.

Remote work is required within 50 miles of McAllen, TX, with equipment provided. The position supports federal enrollees and requires U.S. citizenship and a background check.