Remote FEHB Eligibility Verifier (Inbound Specialist)

Maximus; Madison (WI); Remote; USD 20,000 - 28,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB programs, providing inbound telephone support for dependent eligibility verification. The CSR II role involves handling verifications, document uploads, and Portal access, all while safeguarding PII/PHI and adhering to privacy requirements.

This remote position requires residency within 50 miles of McAllen, TX and contingent upon contract award.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (telephone, emails, web chats, or written letters).
• Assists enrollees with Portal access, login issues, and document upload using approved scripts and knowledge resources.
• Authenticates callers before sharing case information and protects PII and PHI per privacy and security requirements.
• Documents each interaction accurately in the FEHB Portal or other approved system of record.
• Escalates complex questions and potential fraud indicators per procedures.
• Meets attendance, schedule adherence, call quality, and documentation accuracy standards.

Skills

Customer service

Problem solving

Education

High School diploma or equivalent

Tools

OPM FEHB Portal

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB programs, providing inbound telephone support for dependent eligibility verification. The CSR II role involves handling verifications, document uploads, and Portal access, all while safeguarding PII/PHI and adhering to privacy requirements.

This remote position requires residency within 50 miles of McAllen, TX and contingent upon contract award.