EDI Helpdesk Representative - Remote Montana

Gainwell Technologies; United States; Remote; USD 35,000 - 50,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Flexible vacation

Job summary

Gainwell Technologies seeks an EDI Helpdesk Representative for a 100% remote role focused on Montana Medicaid operations. You will assist healthcare providers with EDI and provider services, researching issues, and ensuring timely, accurate support.

The position offers remote work with Montana preference and standard business hours. Ideal candidates have 2+ years in customer service or helpdesk roles, strong communication skills, and experience in healthcare or Medicaid environments.

Qualifications

• Two+ years in customer service or helpdesk roles.
• Experience in healthcare operations or Medicaid-related services preferred.
• Strong verbal and written communication and problem solving.
• Ability to work remotely with cross-system navigation.

Responsibilities

• 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.

Skills

Customer service

Healthcare experience

EDI knowledge

Strong communication

Education

High School Diploma or GED

Job description

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As an EDI Helpdesk Representative - Remote Montana at Gainwell, you'll support healthcare providers by helping resolve questions and issues related to Electronic Data Interchange (EDI), provider services, and healthcare transactions.

This position supports Montana Medicaid operations and is 100% remote. Candidates residing in Montana are strongly preferred; however, qualified candidates residing elsewhere in the United States may also be considered.

You'll work directly with healthcare providers to research issues, troubleshoot concerns, and help ensure they receive accurate and timely support.

Your role in our mission

• 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.

What we're looking for

• 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.

What you should expect in this role

• 100% remote position, with preference given to candidates residing in Montana.
• Equipment provided by Gainwell Technologies.
• Monday through Friday schedule during standard business hours.
• Video cameras must be used during all virtual interviews and the first week of training.
• Candidates must successfully complete a skills and competency assessment as part of the hiring process.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

Pay and benefits

The pay range for this position is $35,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning and career development.

• All salaried, full-time candidates are eligible for our generous, flexible vacation policy,
• a 401(k) employer match,
• comprehensive health benefits,
• and educational assistance.
• We also have a variety of leadership and technical development academies to help build your skills and capabilities.