Remote FEHB Eligibility Verification Specialist

Maximus; Austin (TX); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment verification, providing inbound telephone support for dependent eligibility. The CSR II answers questions about eligibility, documentation, submission deadlines, and portal navigation, while ensuring PII/PHI protection and accurate case documentation.

Remote work is allowed within 50 miles of Lawrence, KS; position contingent on contract award.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.
• U.S. Citizen with ability to obtain and maintain a Moderate Risk Public Trust (5C) suitability determination.
• Must reside within 50 miles of Lawrence, KS for the remote role.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via telephone, emails, web chats, or written letters.
• Calls are predominantly routine and may require deviation from standard scripts and procedures.
• Uses computerized systems for tracking, information gathering, and troubleshooting.
• Provides feedback on call trends, processes, procedures, and training; escalates as needed.
• Assists callers with Portal access, login issues, and document upload using approved scripts and resources.

Skills

Customer service

Education

High School diploma or equivalent

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment verification, providing inbound telephone support for dependent eligibility. The CSR II answers questions about eligibility, documentation, submission deadlines, and portal navigation, while ensuring PII/PHI protection and accurate case documentation.

Remote work is allowed within 50 miles of Lawrence, KS; position contingent on contract award.