Member Services Representative

Capital Health Plan • Tallahassee, FL

5d • Onsite

About The Position

Capital Health Plan is seeking a full-time Member Services Representative in Tallahassee, FL to help create exceptional experiences for our members every day. If you thrive in a fast-paced environment, enjoy helping others, and want a rewarding career where your work truly makes a difference, this could be the opportunity you've been looking for. We are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care. Our employees are essential to our continued success, and their passion, motivation, and commitment drive our reputation for excellence and member satisfaction. Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. We are dedicated to fostering a professional, respectful, and inclusive workplace where employees are valued, supported in their growth, and empowered to make a meaningful impact.

Requirements

• Associate's degree from an accredited two-year college or technical school, or equivalent education and experience
• 1+ years of related experience in a call center, medical office, or customer service environment
• Strong verbal and written communication skills
• Excellent problem-solving and research abilities
• Ability to manage a high volume of calls while maintaining professionalism and accuracy
• Strong data entry and documentation skills
• Ability to work within established policies, procedures, and service timelines

Nice To Haves

• Experience in healthcare customer service or call center environments
• Knowledge of health plan benefits, eligibility or referral processes
• Experience resolving member complaints or escalations
• Familiarity with customer service software
• Strong de-escalation skills

Responsibilities

• Answering inbound calls
• Providing clear and accurate information
• Helping individuals navigate questions related to benefits, eligibility, referrals, and services
• Researching and resolving concerns
• Documenting important interactions
• Coordinating with internal departments
• Ensuring every inquiry is handled with professionalism, empathy, and efficiency

Benefits

• Health coverage and dental insurance
• Health and dependent care spending accounts
• Short and long-term disability
• Major disability time off (MDTO)
• Retirement plan
• Life and AD&D insurance
• Voluntary life and AD&D insurance
• Paid time off (PTO)
• Employee assistance program
• SmartDollar

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree