EDI Helpdesk Representative

Gainwell Technologies

. Serve as the first point of contact for healthcare providers by answering inbound calls and responding to EDI and provider-related inquiries .

Posted 9/28/2026full-timeRemote • Montana • United StatesJuniorMid-Level💰 $31,400 - $44,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in customer service and healthcare operations, with a focus on resolving provider inquiries and maintaining compliance. Proficient in managing multiple systems and ensuring accurate documentation while delivering high-quality support.

Highest-signal resume keywords

Customer Service ExperienceHealthcare Operations SupportElectronic Data Interchange (EDI) KnowledgeClaims Processing ExperienceStrong Verbal And Written Communication

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingElectronic Data Interchange (EDI) SupportHealthcare TransactionsProvider ServicesDocumentation Standards

Soft Skills

Attention To DetailProblem-SolvingTime Management

Tools & Technologies

Call Center SystemsRemote Work Tools

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Montana MedicaidHealthcare Customer ServiceProvider InquiriesHealthcare ProvidersHealth Plan Members

About the role

Key responsibilities & impact

Serve as the first point of contact for healthcare providers by answering inbound calls and responding to EDI and provider-related inquiries
Research, troubleshoot, and resolve provider issues, escalating more complex concerns to the appropriate teams when needed
Conduct outbound follow-up calls and communications to ensure timely resolution of provider requests
Process provider and member updates while maintaining accuracy, compliance, and documentation standards
Meet established service, quality, and productivity goals while delivering professional and responsive customer support
Support Montana Medicaid operations
Help healthcare providers resolve questions and issues related to Electronic Data Interchange, provider services, and healthcare transactions

Requirements

What you’ll need

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 with the ability to research and explain information clearly
Ability to navigate multiple systems, manage competing priorities, and maintain strong attention to detail in a remote work environment
Candidates must reside in Montana preferred; qualified candidates residing elsewhere in the United States may also be considered
Must successfully complete a skills and competency assessment
Video cameras must be used during all virtual interviews and the first week of training

Benefits

Comp & perks

Work flexibility
Learning and career development
Equipment provided by Gainwell Technologies
Monday through Friday schedule during standard business hours
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies