Member Services Representative

Capital Health Plan; Tallahassee (FL); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health coverage

Dental insurance

Spending accounts

Disability (short/long)

Retirement plan

Life & AD&D insurance

Voluntary life & AD&D

PTO

Employee assistance program

SmartDollar

Job summary

Capital Health Plan in Tallahassee, FL is seeking a full-time Member Services Representative to assist our members with benefits, eligibility, referrals, and services. You will be the calm voice answering inbound calls, delivering clear information, and guiding members through complex questions.

This role requires strong communication, problem-solving, and data-entry skills, with a Monday–Friday schedule from 8 AM to 5 PM. We offer competitive pay and comprehensive health benefits.

Qualifications

• 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.

Responsibilities

• Answer inbound calls and provide clear, accurate information to members.
• Help members navigate benefits, eligibility, referrals, and services.
• Research and resolve concerns, documenting important interactions.
• Coordinate with internal departments to ensure timely assistance.
• Maintain professionalism, empathy, and efficiency in all member interactions.

Skills

Call center experience

Communication skills

Problem solving

Research abilities

Data entry

Documentation

Customer service mindset

Education

Associate’s degree or equivalent education & experience

Job description

Are you the calm voice, problem-solver, and trusted guide people rely on when they need answers most? 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.

WHY YOU SHOULD JOIN US

Pay: We offer our Member Services Representative a competitive wage.

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

ABOUT CAPITAL HEALTH PLAN

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.

ARE YOU THE MEMBER SERVICES REPRESENTATIVE OUR TEAM NEEDS?

If you can meet the following requirements, we need you as our Member Services Representative!

• 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

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, and strong de-escalation skills are preferred.

WHAT VITAL ASSISTANCE DO YOU PROVIDE?

This is a full-time position working Monday through Friday from 8 AM to 5 PM.

In this role, you’ll be the trusted connection between Capital Health Plan and our members, answering inbound calls, providing clear and accurate information, and helping individuals navigate questions related to benefits, eligibility, referrals, and services. Throughout your day, you’ll research and resolve concerns, document important interactions, coordinate with internal departments, and ensure every inquiry is handled with professionalism, empathy, and efficiency.