EDI Helpdesk Representative

This is a fully remote position, open to applicants in Montana.

📋 Description

• Act as the primary contact for healthcare providers by handling incoming calls and addressing EDI and provider-related questions.

• Investigate, troubleshoot, and resolve provider issues, escalating more complicated matters to the appropriate teams when necessary.

• Make outbound follow-up calls and communications to ensure prompt resolution of provider inquiries.

• Manage provider and member updates while ensuring accuracy, compliance, and adherence to documentation standards.

• Achieve set service, quality, and productivity targets while providing professional and responsive customer support.

• Assist with Montana Medicaid operations.

• Aid healthcare providers in resolving inquiries and issues related to Electronic Data Interchange, provider services, and healthcare transactions.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• At least two years of experience in customer service, call center support, helpdesk support, healthcare operations, provider services, claims processing, EDI support, or a similar field.

• Preferred experience in supporting healthcare providers, health plan members, claims processing, Medicaid programs, or healthcare customer service.

• Strong verbal and written communication skills with the capacity to research and present information clearly.

• Ability to navigate various systems, manage competing priorities, and maintain meticulous attention to detail in a remote work setting.

• Candidates residing in Montana are preferred; however, qualified candidates from other parts of the United States may also be considered.

• Successful completion of a skills and competency assessment is required.

• Video cameras must be utilized during all virtual interviews and throughout the first week of training.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Equipment provided by Gainwell Technologies.

• Standard Monday through Friday schedule during business hours.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance available.

• Access to leadership and technical development academies.