Briljent is seeking a dedicated and customer-focused professional to join our Claims EDI Helpdesk team supporting a healthcare client. This fully remote role provides front-line support to providers and trading partners regarding electronic claims submissions and EDI-related inquiries. The ideal candidate is a strong communicator who thrives in a fast-paced environment and is comfortable handling a high volume of phone calls while delivering exceptional service.

Duties: 

• 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.
• Accurately document all interactions and resolutions in the designated tracking systems.
• Collaborate with internal teams to escalate and resolve complex issues as needed.
• Educate callers on EDI processes, requirements, and available resources.
• Maintain up-to-date knowledge of Medicaid policies and Briljent systems and procedures.

• High school diploma or equivalent required; 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 preferred.
• Strong verbal communication skills and professional phone etiquette.
• Ability to work independently in a remote environment with minimal supervision.
• Proficiency in Microsoft Office and helpdesk ticketing systems.

Physical Requirements & Environmental Conditions

These physical demands must be met by an employee to successfully perform the essential functions of this job. The employee is regularly required to communicate, remain in a stationary position, and utilize technology tools such as a laptop computer for extended periods of time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Equal Opportunity Employer

Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes collaboration and perspective are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status, or any other basis protected by federal, state, or local law, regulation, or ordinance.