Hybrid Healthcare Authorization Specialist

Inova Health System; Virginia; Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness program

Retirement match

Education assistance

Student loan assistance

Mental health support

Paid time off

Parental leave

Flexible schedules

Remote/hybrid opportunities

Job summary

Inova Health System is seeking an Insurance Authorization Specialist to join our team. The role is full-time with a 9:30am–6:00pm schedule, and a hybrid work model after an initial 90-day on-site training period.

We value accuracy in medical necessity reviews and payer requirements. The position emphasizes collaboration with schedulers, clinics, and operational teams to ensure timely approvals and efficient patient access services.

Qualifications

• 2 years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations.

Responsibilities

• Independently manages authorization and preservice financial clearance for moderate to complex services.
• Reviews payer medical policies, coverage requirements, and medical necessity criteria to ensure proper submissions.
• Coordinates with clinical schedulers, clinics, and operations to meet service-line authorization needs.

Skills

Healthcare revenue cycle

Authorizations

Patient access

Preservice financial clearance

Payer policies knowledge

Education

High school or GED

Job description

Inova Health System is seeking an Insurance Authorization Specialist to join our team. The role is full-time with a 9:30am–6:00pm schedule, and a hybrid work model after an initial 90-day on-site training period.

We value accuracy in medical necessity reviews and payer requirements. The position emphasizes collaboration with schedulers, clinics, and operational teams to ensure timely approvals and efficient patient access services.