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.