Claims EDI Helpdesk Representative
Briljent
full-time
Posted on:
Location Type: Remote
Location: India
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Job Level
About the role
- 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.
- Accurately document all interactions and resolutions in the designated tracking systems.
- Collaborate with internal teams to escalate and resolve complex issues as needed.
- Educate callers on EDI processes, requirements, and available resources.
- Maintain up-to-date knowledge of Medicaid policies and Briljent systems and procedures.
Requirements
- High school diploma or equivalent required; 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 preferred.
- Strong verbal communication skills and professional phone etiquette.
- Ability to work independently in a remote environment with minimal supervision.
- Proficiency in Microsoft Office and helpdesk ticketing systems.
Benefits
- Equal Opportunity Employer
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
EDI formats837999277CAhealthcare claims processingtroubleshootingtechnical issue resolutiondocumentationcustomer servicehelpdesk support
Soft skills
verbal communicationprofessional phone etiquetteindependent workcollaborationproblem-solving
Certifications
high school diplomaassociate degree