Hybrid Insurance Authorization Specialist

Inova Health System; Virginia (MN); Hybrid; USD 48,000 - 64,000; Full time

Benefits offered by this job

Medical, dental & vision

Retirement match

Education assistance

Mental health support

Remote and hybrid opportunities

Job summary

Inova Health System seeks an Insurance Authorization Specialist to join our Revenue Cycle team. This full-time, hybrid role begins with 90 days on-site training, then hybrid work arrangements.

You will independently manage authorizations for complex services, review payer policies, coordinate with clinics, and ensure timely approvals through payer portals. A background in healthcare revenue cycle and strong problem-solving skills are essential.

Qualifications

• 2 years of healthcare revenue cycle, patient access, authorizations, or related operations.
• High school diploma or GED.

Responsibilities

• Independently manages authorization and preservice financial clearance activities for moderate to complex specialty services.
• Performs detailed review of payer policies, insurance coverage requirements, and medical necessity criteria to ensure appropriate authorization submission and denial prevention.
• Coordinates closely with clinical schedulers, clinics, and operational teams to ensure service-line–specific authorization requirements and documentation standards are met.
• Manages authorization requests through payer portals and electronic workflows while proactively monitoring status and performing follow-up with insurance payers to facilitate timely approvals.
• Maintains a strong working knowledge of payer policies, insurance plans, and specialty service-line authorization requirements.
• Collaborates with operational teams to support workflow improvements related to authorization processing, preservice financial clearance, and patient access operations.
• May perform additional duties as assigned.

Skills

Healthcare revenue cycle

Patient access

Authorizations

Payer policies

Customer service

Detail-oriented

Education

High school or GED

Job description

Inova Health System seeks an Insurance Authorization Specialist to join our Revenue Cycle team. This full-time, hybrid role begins with 90 days on-site training, then hybrid work arrangements.

You will independently manage authorizations for complex services, review payer policies, coordinate with clinics, and ensure timely approvals through payer portals. A background in healthcare revenue cycle and strong problem-solving skills are essential.