Member Services Representative

Capital Health Plan; Tallahassee (FL); On-site; USD 35,000 - 45,000; Full time

Job summary

EmergencyMD in Tallahassee, FL, is looking for a dedicated Member Services Representative. In this full-time role, you'll serve as a key contact for members, handling high-volume calls and providing accurate information on health plan benefits and services. Candidates should have an Associate's degree or equivalent experience, with strong problem-solving and communication skills. Join us to contribute to positive member interactions and be part of a respected company that values professionalism and integrity.

Qualifications

• Minimum of one year of related experience in a call center, medical office, or customer service environment.
• Ability to manage a high volume of calls while maintaining accuracy and professionalism.
• Strong data entry skills with the ability to track member interactions.

Responsibilities

• Respond to high-volume inquiries from members.
• Document interactions in system databases.
• Collaborate with internal teams to resolve member concerns.

Skills

Clear communication

Problem-solving

Data entry

Customer service

Education

Associate's degree or equivalent experience

Job description

Location: Tallahassee, FL

Department: Member Services

F/T or P/T status: Full Time

Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.

About the role

We are seeking a Member Services Representative to serve as a key point of contact for Capital Health Plan members and the community. This role is responsible for responding to high‑volume inquiries, providing accurate information regarding health plan benefits and services, and assisting with issue resolution to ensure a positive member experience.

The Member Services Representative answers inbound calls, documents interactions in system databases, researches and resolves member concerns, and collaborates with internal teams to address inquiries related to eligibility, benefits, referrals, and services. This role plays a critical part in ensuring inquiries and complaints are handled accurately, professionally, and within established timeframes.

Responsibilities and requirements

• Associate's degree from an accredited two-year college or technical school, or equivalent education and experience
• Minimum of one year of related experience (call center, medical office, or customer service environment preferred)
• Ability to communicate clearly and professionally with members, staff, and the public by phone and in written communication
• Strong problem‑solving skills with the ability to research and resolve member inquiries
• Ability to manage a high volume of calls while maintaining accuracy and professionalism
• Strong data entry and documentation skills, with the ability to track and follow up on member interactions
• Ability to work within established policies, procedures, and service timelines

Preferred qualifications

• Experience working in a call center or healthcare customer service environment
• Knowledge of health plan benefits, eligibility, or referral processes
• Experience handling and resolving member complaints or escalations
• Familiarity with customer service systems or call tracking software
• Strong interpersonal skills and the ability to de‑escalate concerns in a professional manner

Equal Employment Opportunity

CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.