Job Description

Position Overview

Gainwell Technologies 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 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 and Gainwell Technologies systems.

Required 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.

Work Environment

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.