Customer Service Representative I
Job Description
Overview
We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who are compassionate, service with a purpose, are dedicated to supporting their team, and who seek excellence every day.
Why Join IU Health?
As Indiana's largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer:
SCHEDULE
Monday-Friday 8:00am-4:30pm
WORK LOCATION
Sleep Center: 714 N Senate Ave.
KEY RESPONSIBILITIES
Review and interpret medical records, physician notes, and clinical documentation to identify required information for prior authorization submissions.
Prepare, compile, and submit accurate prior authorization requests in accordance with payer guidelines and medical necessity requirements.
Communicate with insurance companies via phone and electronic systems to initiate, monitor, and follow up on authorization requests.
Manage a high volume of inbound and outbound calls while delivering professional, efficient customer service.
Collaborate with providers, clinical staff, and internal teams to clarify documentation and ensure complete and accurate submissions.
Analyze payer policies and requirements to determine appropriate supporting clinical information.
Track authorization status and proactively follow up to ensure timely approvals and minimize delays in patient care.
Maintain accurate, detailed documentation of all interactions, submissions, and patient/customer information in designated systems.
Resolve routine issues by determining appropriate solutions aligned with organizational guidelines and patient needs.
Process service requests, including orders, scheduling, referrals, and insurance-related inquiries.
Support multiple locations while managing complex information with strong attention to detail, organization, and accountability.
Uphold professionalism and maintain a positive attitude in all patient and customer interactions.
REQUIREMENTS
We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.