Remote FEHB Eligibility Verification Specialist

Maximus; McAllen (TX); Remote; USD 20,000 - 28,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB programs for enrollees, providing inbound telephone support on eligibility rules, documentation, and portal access. The role requires staying within 50 miles of McAllen, TX and working remotely.

Strong customer service, data entry, and privacy awareness are essential. Responsibilities include handling routine inquiries, using the FEHB Portal, and ensuring accurate case documentation while adhering to security

Qualifications

• 6 months of customer service experience required.

Responsibilities

• Provides inbound customer service for FEHB/PSHB inquiries.
• Answers questions about dependent eligibility verification requirements, documentation, deadlines, and case status.
• Assists enrollees with Portal access, login issues, and document submission.
• Authenticates callers and protects PII/PHI per privacy and security requirements.
• Documents each interaction in the FEHB Portal or approved system.
• Escalates complex questions and potential fraud indicators per procedures.
• Meets attendance, schedule adherence, call quality, and data accuracy standards.

Skills

Customer service

Communication

Data entry

Privacy & security awareness

Education

High School diploma or equivalent

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB programs for enrollees, providing inbound telephone support on eligibility rules, documentation, and portal access. The role requires staying within 50 miles of McAllen, TX and working remotely.

Strong customer service, data entry, and privacy awareness are essential. Responsibilities include handling routine inquiries, using the FEHB Portal, and ensuring accurate case documentation while adhering to security