Senior CCSB Eligibility Specialist & Training Lead

Pinnacle Health Solutions; Irvine (CA); On-site; USD 85,000 - 120,000; Full time

Job summary

Pinnacle Health Solutions is seeking an experienced CCSB Eligibility Specialist III to lead training, manage complex eligibility and billing for CCSB accounts, and provide escalation support. The role focuses on maintaining compliance, handling escalations, and driving process improvements within a healthcare benefits environment.

The ideal candidate has 5–7 years in accounting/finance, strong analytical abilities, and expert knowledge of HIPAA and ERISA regulations.

Qualifications

• BA/BS degree in accounting, finance, or field.
• Five to seven years of accounting/business experience preferred.
• HIPAA, COBRA, California-COBRA, MEWA, ERISA knowledge required.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication abilities.

Responsibilities

• Mentor and train team members on processes and policies.
• Maintain eligibility and billing for CCSB accounts.
• Assist in escalations and complex case handling.
• Produce reports and monitor SLAs and performance.
• Collaborate with leadership and stakeholders to resolve issues.

Skills

Team leadership

Analytical thinking

Customer service

Training & coaching

Communication skills

Education

BA/BS in accounting or finance

Tools

Microsoft Office Suite

Eligibility software systems

Case management tools

Job description

Pinnacle Health Solutions is seeking an experienced CCSB Eligibility Specialist III to lead training, manage complex eligibility and billing for CCSB accounts, and provide escalation support. The role focuses on maintaining compliance, handling escalations, and driving process improvements within a healthcare benefits environment.

The ideal candidate has 5–7 years in accounting/finance, strong analytical abilities, and expert knowledge of HIPAA and ERISA regulations.