Customer Service Representative I

Job Description

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:

• 401(K) retirement savings with employer match
• Tuition reimbursement
• Employee Assistance Program – Counseling at no cost to you
• Healthy Results – Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!

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

• High School Diploma/GED is required.
• Requires 0-3 years of relevant experience.
• Requires proficiency in Microsoft Office.
• Requires the ability to manage time effectively in a fast-paced environment

About Us

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we're home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation's largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation's healthiest states.

About the Team

Indiana University Health is Indiana's most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We're looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

Job Info

• Job Identification 421053
• Job Category Administrative, Clerical, Customer Service
• Locations 714 N Senate Ave, Indianapolis, IN, 46202, US
• Job Schedule Full time
• Job Shift Day