Member Services Representative

L.E. Cox Medical Centers; Springfield (MO); On-site; USD 21,000 - 29,000; Part time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Employer 401(k) matching

Job summary

CoxHealth is seeking a Member Service Representative (MSR) in Springfield, MO. The MSR will handle benefit interpretation, claims, authorizations, and membership inquiries via phone or email. Prior experience in healthcare/insurance and call centers is preferred, with strong verbal and written communication skills.

Responsibilities include documenting interactions in the system and following up on actions. A High School Diploma or equivalent is required, with a customer-service background

Qualifications

• High School Diploma or Equivalent is required.
• Experience in a customer service-focused environment is strongly desired.
• Call center experience is preferred.

Responsibilities

• Answer phone or email inquiries from providers, members, customers, or brokers about coverage, claims, billing, and authorizations.
• Document interaction details in the database and follow up on actions as needed.
• Translate healthcare terminology into clear verbal or written communication for end users.

Skills

Verbal communication

Written communication

Customer service

Education

High School Diploma or Equivalent

Job description

Facility:CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807Department:1752 CHP Member ServicesScheduled Weekly Hours:24Hours:Work Shift:Day Shift (United States of America)CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:Named one of Modern Healthcare’s Best Places to work five times.Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.Acknowledged by Forbes as one of the Best Employers for New Grads.Healthcare Innovation's Top Companies to Work for in Healthcare (2025).BenefitsMedical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)For a comprehensive list of benefits, please click here: Benefits | CoxHealthJob Description:The Member Service Representative (MSR) will support multiple lines of business for benefit interpretation, claims, authorizations and membership inquiries. The MSR’s primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. This individual will be proficient in multiple lines of business, for example Medicare, group, and Individual Marketplace, translating health care related terminology into effective verbal or written communication for the end user to comprehend. In addition to addressing the caller professionally and properly, the MSR will need to document details of the interaction within the database, including any additional action steps taken as follow up.Education: Required: High School Diploma or Equivalent Experience: • Experience working in a customer service focused industry strongly desired. • Health Care/Insurance environment preferred. • Experience working in a call center preferred. Skills: Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. Self starter. Licensure/Certification/Registration: N/A