Remote Eligibility Verifications Specialist (Admin II)

Maximus; Atlanta (GA); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support federal FEHB eligibility verification programs. This remote position requires residency within 75 miles of Lawrence, KS, with full-time work and duties including document verification and case management.

The role focuses on reviewing enrollee documentation, following up for missing information, and maintaining precise case records while upholding privacy standards.

Qualifications

• High School diploma or equivalent required, with 1–3 years of related experience.
• Experience reviewing benefits, eligibility, or other supporting documentation against established criteria.
• Strong attention to detail and ability to identify discrepancies in records.

Responsibilities

• Review documents for completeness and accuracy 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, productivity, and processing standards.
• Escalate complex cases through established channels.

Skills

Attention to detail

Documentation review

Verbal communication

Data entry

Customer follow-up

Education

High School diploma or equivalent

Tools

Electronic case records

Document imaging systems

Job description

Maximus is seeking an Eligibility Verification Specialist to support federal FEHB eligibility verification programs. This remote position requires residency within 75 miles of Lawrence, KS, with full-time work and duties including document verification and case management.

The role focuses on reviewing enrollee documentation, following up for missing information, and maintaining precise case records while upholding privacy standards.