Claims EDI Helpdesk Representative
This is a remote position.
Claims EDI Helpdesk Support – Indiana Medicaid (Remote) Employment Type: Full-Time
Position Overview
Our client is seeking a dedicated and customer-focused professional to join our Claims EDI Helpdesk team supporting the Indiana Medicaid account. This fully remote role involves providing front-line support to providers and trading partners regarding electronic claims submissions and EDI-related inquiries. The ideal candidate will be comfortable handling a high volume of phone calls and delivering exceptional service in a fast-paced environment.
Key Responsibilities
- Respond to inbound calls and emails from providers and trading partners regarding EDI claim submissions, rejections, and processing issues.
- Troubleshoot and resolve technical issues related to electronic data interchange (EDI) formats, transactions, and connectivity.
- Document all interactions and resolutions in the appropriate tracking systems.
- Collaborate with internal teams to escalate and resolve complex issues.
- Educate callers on EDI processes, requirements, and available resources.
- Maintain up-to-date knowledge of Indiana Medicaid policies.
Requirements
Required Qualifications
- High school diploma or equivalent; associate degree or higher preferred.
- 1+ years of experience in customer service, helpdesk support, or healthcare claims processing.
- Familiarity with EDI formats (e.g., 837, 999, 277CA) and Medicaid claims systems is a plus.
- Strong verbal communication skills and phone etiquette.
- Ability to work independently in a remote environment with minimal supervision.
- Proficiency in Microsoft Office and helpdesk ticketing systems.
Work Environment
- This is a fully remote position.
- Must be available to work standard business hours (Eastern Time).
- Requires being on the phone for most of the workday.
Additional Compliance Requirements
- Must be able to pass a background check with no felony convictions successfully.
- Must be eligible to pass a DOI (Department of Insurance) compliance screening, as required by the client and Indiana Medicaid program.