Claims EDI Helpdesk Support

🔥 13 hours ago

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RADcube

WebsiteLinkedInAll Job Openings

201 - 500 employees

🤖 Artificial Intelligence

🏢 Enterprise

🔒 Cybersecurity

Artificial Intelligence • Enterprise • Cybersecurity

<RADcube> is a global technology and systems integration partner that designs and delivers production-ready AI platforms through RADlabs, focusing on governed, secure, and enterprise-scale solutions. The company builds governed AI and agentic systems, intelligent document processing (HIPAA-aware), data engineering and analytics, cloud & DevOps, cybersecurity & GRC, and process automation to modernize systems, operationalize AI, and scale innovation with an emphasis on security, compliance, and Responsible AI. RADcube serves multiple industries including government, health & life sciences, banking & finance, e-commerce, manufacturing, transportation & logistics, and education.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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