Lead Operations Cashier - PFS

Marion County Public Health Department; Indianapolis (IN); On-site; USD 42,000 - 56,000; Full time

Job summary

Eskenazi Health in Indianapolis, IN is seeking a Lead PFS Operations Cashier to oversee daily Cashier’s Office operations and ensure accurate handling of patient payments, deposits, and balancing activities. The role focuses on delivering professional service to patients, families, and internal customers across hospital and outpatient settings.

The position requires leadership in a fast-paced clerical environment, strong math and cash-handling skills, and the ability to train and coach staff

Qualifications

• High School Diploma or GED; post-secondary education courses or certification in Business, Computer Sciences, or Office Management
• Associate’s Degree preferred
• Minimum of one year of experience in business office, office management or health information management
• Minimum of 2 years’ experience in a banking preferred
• Minimum of 1 year experience in the area of leadership decision making (i.e. team lead or supervisor)
• Must be proficient in 10 key and capable of typing a minimum of 40 wpm

Responsibilities

• Oversee the daily front-line operations of the Cashier’s Office
• Develop and train new cashiers including ongoing coaching on cash handling procedures
• Evaluate job performance, provide feedback, and maintain adequate window coverage
• Balance vault and change drawers daily; participate in routine audits
• Receive and receipt payments from patients/guarantors and other revenue streams
• Prepare Excel spreadsheet reports documenting deposits and reconciling bank statements
• Assist in balancing Outpatient Retail Pharmacy and Clinical deposit locations as needed

Skills

Data management

Microsoft Office

Education

High School Diploma or GED

Associate’s Degree

Tools

Excel

Job description

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Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

We asked Dawn, CEO - Eskenazi Health Center:

Q

What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community?

We asked Dawn, CEO - Eskenazi Health Center: Q What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community? Employee Q&A

Date: Sep 2, 2026

Location: Indianapolis, IN, US, 46202

Organization: HHC

Sub-Division:Hospital

Schedule:Full Time

Shift:Days

Eskenazi 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.

FLSA Status

Non-Exempt

Job Role Summary

The Lead PFS Operations Cashier oversees the daily operations of the Cashiers Office. This position directly interacts with patients, family members, guests, vendors, internal and external customers to achieve a high level of satisfaction in addressing needs and concerns related to payment of bills while supporting internal customers with currency and/or operational specific needs.

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi Health values of Professionalism, Respect, Innovation, Development and Excellence
• Lead the daily front-line operations of the Cashier’s Office
• Develop and train new cashiers to include ongoing coaching, ensuring competent working knowledge of proper cash handling procedures and general operating policies
• Evaluate job performance, give feedback, and maintain adequate window coverage
• Act as vault teller by counting, recording, and balancing vault currency and coin, appropriately processing damaged currency and fraudulent bills per Federal Reserve guidelines
• Balance vault and change drawers daily, participate in routine unscheduled audits of Cashier’s Office
• Support and assist cashiers in daily operations, ensure all transactions are balanced and reconciled
• Directly interact with patients, family members, guests and customers in a professional manner and achieve a high level of satisfaction with these individuals relative to addressing their needs, concerns, questions, and resolution of account balances.
• Receive and properly receipt payment from patients/guarantors, miscellaneous revenue, grant funds, petty cash reimbursements/replenishments and general fund payment items
• Ensure timely processing of petty cash vouchers, submitting required documentation and reporting, and ensuring funds disbursement to appropriate departments and teams
• Maintain industry knowledge of currency standards and US Treasure policy changes
• Receive, process, and prepare outbound secure deposits to multiple corporate banking partners
• Order Currency and Coin shipments for patient care locations, internal operational customers, and Cashiers Office; ensure accurate and timely deposits of offsetting funds relative to incoming shipments
• Notify supervisor immediately upon discovery and confirmation of vault or drawer variance
• Perform a variety of clerical, financial, and patient accounting services necessary to maintain efficient flow of operations in the clinic/hospital/office setting
• Prepare and maintain tracking log for outgoing items, ensure secure deposit bags are signed out by the armored courier prior to removal from the Cashier’s office
• Prepare Excel Spreadsheet reports as required, documenting deposits and reconciling bank statements
• Collect report data, audit, and assist in balancing Outpatient Retail Pharmacy and Clinical deposit locations as needed to support clinical leadership in locating and reconciling variances
• Process, scan, and transmit insurance payments received on campus to the bank lockbox, when needed
• Maintain proper security of cash, negotiable items, and PHI
• Assist customers with general navigation to various locations within the hospital
• Contribute to the overall success of the Cashiers Office by performing all other essential duties and responsibilities as assigned

Job Requirements

• High School Diploma or GED, with post-secondary education courses or certification in Business, Computer Sciences, or Office Management
• Associate’s Degree preferred
• Minimum of one year of experience in business office, office management or health information management required
• Minimum of 2 years’ experience in a banking preferred
• Minimum of 1 year experience in the area of leadership decision making (i.e. team lead or supervisor)
• Must be proficient in 10 key and capable of typing a minimum of 40 wpm

Knowledge, Skills & Abilities

• Positive demeanor, excellent customer service skills, and good verbal/written communication skills with the ability to use age appropriate communications
• Professional appearance and approach
• Detail oriented with strong mathematical and analytical skills for problem solving
• Ability to learn and use with proficiency any additional operating systems as needed for completion of job duties

Skills in:

• data management
• Microsoft Office products (Word and Excel required)

Accredited 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.