Hybrid Insurance Authorization Specialist: Enabling Timely Care

Inova Health System; Falls Church (VA); Híbrido; USD 60 000 - 78 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical Coverage

Dental Coverage

Vision Coverage

Retirement Match

Tuition Assistance

Student Loan Assistance

Mental Health Support

Flexible Schedule

Remote/Hybrid Opportunities

Resumo da oferta

Inova Health System is seeking an Insurance Authorization Specialist to support preservice financial clearance. This full-time role operates on a hybrid schedule after an initial on-site training period, with shift 9:30am–6:00pm, Monday to Friday.

Ideal candidates will have strong experience in the healthcare revenue cycle and payer authorization requirements. You will work with clinical schedulers and operational teams to ensure timely approvals, accurate documentation, and compliance with

Qualificações

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

Responsabilidades

• Independently manages authorization and preservice financial clearance for moderate to complex services.
• Reviews payer policies, coverage requirements and medical necessity for authorization submissions.
• Coordinates with schedulers, clinics, and operations to meet authorization requirements and documentation standards.
• Manages authorization requests through payer portals and electronic workflows; follows up with payers for timely approvals.
• Maintains working knowledge of payer policies and plans; understands specialty service-line requirements.
• Collaborates with teams to improve authorization processing and patient access workflows.
• Performs additional duties as assigned.

Conhecimentos

Healthcare revenue cycle

Attention to detail

Customer service

Communication

Formação académica

High school diploma or GED

Ferramentas

Payer portals

Electronic Health Records (EHR)

Descrição da oferta de emprego

Inova Health System is seeking an Insurance Authorization Specialist to support preservice financial clearance. This full-time role operates on a hybrid schedule after an initial on-site training period, with shift 9:30am–6:00pm, Monday to Friday.

Ideal candidates will have strong experience in the healthcare revenue cycle and payer authorization requirements. You will work with clinical schedulers and operational teams to ensure timely approvals, accurate documentation, and compliance with