Hybrid Insurance Authorization Specialist

Inova Health System; Falls Church (VA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness program

Retirement matching

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. This full-time role supports preservice financial clearance for a range of services and coordinates with clinics, schedulers, and payers to obtain timely authorizations.

The ideal candidate has at least 2 years in healthcare revenue cycle or patient access, a High school diploma or GED, and strong analytical and customer service skills to thrive in a fast-paced environment.

Qualifications

• 2 years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations.
• High school diploma or GED.
• Experience with payer policies and medical necessity guidelines is preferred.

Responsibilities

• Manages authorization and preservice financial clearance for moderate to complex services.
• Reviews payer policies and medical necessity to ensure proper submission and deny prevention.
• Coordinates with schedulers, clinics, and operations to meet authorization requirements.
• Handles authorization requests via payer portals and tracks status for timely approvals.
• Maintains knowledge of payer policies and service-line requirements.
• Collaborates on workflow improvements for authorization processing and patient access.
• Performs additional duties as assigned.

Skills

Healthcare revenue cycle

Customer service

Analytical thinking

Education

High school diploma or GED

Job description

Inova Health System is seeking an Insurance Authorization Specialist to join our team. This full-time role supports preservice financial clearance for a range of services and coordinates with clinics, schedulers, and payers to obtain timely authorizations.

The ideal candidate has at least 2 years in healthcare revenue cycle or patient access, a High school diploma or GED, and strong analytical and customer service skills to thrive in a fast-paced environment.