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This is a remote position. 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.
Job Responsibility:
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:
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
Must be able to successfully pass a background check with no felony convictions
Must be eligible to pass a DOI (Department of Insurance) compliance screening, as required by the client and Indiana Medicaid program
Nice to have:
Familiarity with EDI formats (e.g., 837, 999, 277CA) and Medicaid claims systems is a plus