About this opportunity
Health & Hospital Corporation lists this Pre-Services Coordinator (Prior Authorization) opportunity in indianapolis, Indiana. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Pre-Services Coordinator (Prior Authorization)Date: Aug 6, 2026Location: Indianapolis, IN, US, 46202Organization: HHCDivision: Eskenazi Health Sub-Division: HospitalSchedule: Full Time Shift: DaysEskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.Job Role Summary: The Pre-Services Coordinator works directly with patients, referring physician offices, and payers, to ensure full payer clearance prior to receiving care, through pre-registration, financial clearance, authorization, referral validation, and pre-serviceability estimations and collections. The Pre-Services Coordinator establishes the first impression of Eskenazi Health for patients, families, and other external/internal customers, serving as a subject matter expert as it relates to payer requirements, authorizations, appeals and patient navigation.Essential Functions and Responsibilities:Conducts pre-registration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan codes and Coordination of Benefits ordersCorrects and updates all necessary data to assure timely, accurate bill submissionMaintains accountability for accuracy of data collected and entered into systems and demonstrates the ability to maintain the passing grade on monthly auditsVerifies insurance information through payer contacts via telephone, online resources, or electronic verification systems and identifies payer authorization/referral requirementsProvides appropriate documentation and follow up to patients, physician offices, case management departments, and payers regarding authorization/referral deficienciesContacts insurance carriers or other sources to obtain prior authorizations; obtains pre-certification and/or authorization prior to servicesIdentifies all patient financial responsibilities, calculates estimates, collects liabilities, posts payment transactions, and completes waivers as appropriate in the Epic systemIdentifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriateDelivers positive patient experience using AIDETCounsels patients regarding insurance benefits by explaining financial responsibilities for services received, payment options, and collections procedures to patients and parties responsible for paymentPerforms any written and verbal communication necessary to exchange information with designated contacts and promote working relationships with patients, Eskenazi Health leadership and staff, physician offices, and external/internal customersInitiates process for collecting prepays due and performs follow-up to insure maximum collection is achievedUpdates and correctly documents in EpicAttains productivity standards, recommending new approaches for enhancing performance and productivity when appropriateAttains quality standards, recommending new approaches for enhancing quality when appropriateJob Requirements:Accredited Bachelor's degree preferred; OR four (4) years experience in a pre-services setting.High School Diploma or GED required.Certification in Healthcare Business Insights within 60 days of hireKnowledge, Skills & Abilities:Understanding of Medicare regulations, Medicaid MRO, Medicaid Clinic Services, and Commercial insurance related to any necessary prior authorization process/requirementsAdvanced computer skills to facilitate the utilization of web based applicationsAccredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.Nearest Major Market: Indianapolis
Worksite address
indianapolis, IN, 46201, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.