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Claims EDI Helpdesk Representative

April 30, 2026

This is a remote position. Claims EDI Helpdesk Support – Indiana Medicaid (Remote) Employment Type: Full-Time Position Overview 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 <ul> <li>Respond to inbound calls and emails from providers and trading partners regarding EDI claim submissions, rejections, and processing issues. </li> <li>Troubleshoot and resolve technical issues related to electronic data interchange (EDI) formats, transactions, and connectivity. </li> <li>Document all interactions and resolutions in the appropriate tracking systems. </li> <li>Collaborate with internal teams to escalate and resolve complex issues. </li> <li>Educate callers on EDI processes, requirements, and available resources. </li> <li>Maintain up-to-date knowledge of Indiana Medicaid policies. </li> </ul> <h3>Requirements</h3> Required Qualifications <ul> <li>High school diploma or equivalent; associate degree or higher preferred. </li> <li>1+ years of experience in customer service, helpdesk support, or healthcare claims processing. </li> <li>Familiarity with EDI formats (e.g., 837, 999, 277CA) and Medicaid claims systems is a plus. </li> <li>Strong verbal communication skills and phone etiquette. </li> <li>Ability to work independently in a remote environment with minimal supervision. </li> <li>Proficiency in Microsoft Office and helpdesk ticketing systems. </li> </ul> Work Environment <ul> <li>This is a fully remote position. </li> <li>Must be available to work standard business hours (Eastern Time). </li> <li>Requires being on the phone for most of the workday. </li> </ul> Additional Compliance Requirements <ul> <li>Must be able to pass a background check with no felony convictions successfully. </li> <li>Must be eligible to pass a DOI (Department of Insurance) compliance screening, as required by the client and Indiana Medicaid program. </li> </ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...