Hybrid Insurance Authorization Specialist – Impact & Benefits

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement match

Education assistance

Mental health support

Flexible work options

Job summary

Inova Health System seeks an Insurance Authorization Specialist to perform authorization and preservice financial clearance for a range of services in a fast-paced healthcare setting. This full-time role features an initial on-site training phase for 90 days, followed by hybrid work options.

The ideal candidate has healthcare revenue cycle experience, strong knowledge of payer policies, and the ability to coordinate with clinical schedulers and teams to ensure timely approvals.

Qualifications

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

Responsibilities

• Manage authorization and preservice financial clearance for surgeries and services.
• Review payer policies and medical necessity to ensure proper submissions.
• Coordinate with schedulers, clinics, and operations to meet authorization requirements.
• Manage requests through payer portals and follow up for timely approvals.
• Maintain knowledge of payer policies and service-line authorization requirements.
• Collaborate to improve workflows related to authorization processing and patient access.

Skills

Insurance authorizations

Patient access

Revenue cycle

Payer policies

Education

High school diploma or GED

Job description

Inova Health System seeks an Insurance Authorization Specialist to perform authorization and preservice financial clearance for a range of services in a fast-paced healthcare setting. This full-time role features an initial on-site training phase for 90 days, followed by hybrid work options.

The ideal candidate has healthcare revenue cycle experience, strong knowledge of payer policies, and the ability to coordinate with clinical schedulers and teams to ensure timely approvals.