Customer Service Representative

Job Opportunity At IU Health

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.

As Indianas 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.