Claims EDI Helpdesk Representative
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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