California Licensed Eligibility Specialist

Job Summary

To support the administration of employee benefits within the CCSB Covered California Small Business exchange, the full-time California Licensed Eligibility Specialist will process enrollments, terminations, and changes while resolving member inquiries, with flexible work arrangements available.

Key responsibilities

• Maintain and administer eligibility and billing for CCSB accounts, processing enrollment transactions in accordance with established guidelines
• Provide support to the CCSB Small Business call center team, ensuring efficient customer service operations
• Identify process inefficiencies and implement improvements to enhance operational efficiency and reduce costs

Required qualifications

• High school diploma or equivalent with 1-3 years of Accounting/Business experience preferred
• Knowledge of healthcare eligibility and billing procedures, including HIPAA and COBRA regulations
• Intermediate proficiency in Microsoft Office and experience with proprietary healthcare systems
• Experience in customer service, with the ability to resolve client issues effectively
• Fluency in Spanish, both verbal and written, is a plus