[Hiring] Claims EDI Helpdesk Support @RADcube - A NLogix Company

Role Description

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 claims 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.

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.

Requirements

• 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.
• 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.