EDI Helpdesk Representative

Posted 9hrs ago

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Job Description

Remote EDI helpdesk representative supporting healthcare providers and transactions for Montana Medicaid. Researching issues, resolving inquiries, and maintaining accurate provider updates at Gainwell Technologies.

Responsibilities:

  • Serve as the first point of contact for healthcare providers
  • Answer inbound calls and respond to EDI and provider-related inquiries
  • Research, troubleshoot, and resolve provider issues
  • Escalate complex concerns to appropriate teams
  • Conduct outbound follow-up calls and communications
  • Process provider and member updates
  • Maintain accuracy, compliance, and documentation standards
  • Meet service, quality, and productivity goals
  • Deliver professional and responsive customer support for Montana Medicaid operations

Requirements:

  • High School Diploma or GED required
  • Minimum two years of experience in customer service, call center support, helpdesk support, healthcare operations, provider services, claims processing, EDI support, or a related field
  • Experience supporting healthcare providers, health plan members, claims processing, Medicaid programs, or healthcare customer service preferred
  • Strong verbal and written communication skills
  • Ability to research and explain information clearly
  • Ability to navigate multiple systems and manage competing priorities
  • Strong attention to detail in a remote work environment
  • Candidates must reside in the United States; Montana residents strongly preferred
  • Must successfully complete a skills and competency assessment
  • Video cameras must be used during virtual interviews and the first week of training

Benefits:

  • 100% remote position
  • Equipment provided by Gainwell Technologies
  • Flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
  • Leadership and technical development academies
  • Career growth, learning, and career development opportunities