Claims EDI Helpdesk Representative

Posted 2026-05-05
Remote, USA Full-time Immediate Start
    Job Description:
  • 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.
    Benefits:
  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Remote work options

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