Insurance Authorization Associate - Pre Service

Inova Health; Virginia (IL); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Retirement: 5% employer match

Education assistance up to $5,250/year

Student loan assistance up to $10,000

Mental health support

Flexible work schedules; remote/hybrid

Job summary

Inova Health is seeking a dedicated Insurance Authorization Associate to join our team. This full-time role operates 9:30am–6:00pm, Monday to Friday, with hybrid work after an initial 90-day on-site training period.

You will handle routine authorizations, verify eligibility, and maintain accurate demographic and insurance information to ensure clean submissions. We value a strong healthcare revenue cycle background and customer-focused communication.

Qualifications

• 1 year of healthcare revenue cycle, patient access, insurance verification, authorizations, or customer service experience.
• High school diploma or GED.
• Knowledge of payer policies and pre-service workflows.

Responsibilities

• Performs standard payer authorization submissions for routine services using established workflows.
• Processes high-volume, lower-complexity authorizations and preservice financial clearance.
• Verifies patient eligibility and insurance benefits to support accurate submissions.
• Ensures required medical documentation is complete prior to submission.
• Submits authorization requests and tracks status through completion.
• Uses Epic workflows and related tools to support processing.
• Escalates complex policy issues or appeals as needed.
• Provides clear customer service to patients regarding requirements and responsibility.
• Maintains knowledge of insurance plans and pre-service authorization workflows.
• May perform additional duties as assigned.

Skills

Revenue cycle experience

Patient access

Insurance verification

Authorizations

Customer service

Analytical skills

Education

High school diploma or GED

Tools

Epic workflows

Job description

Job Description

Inova is looking for a dedicated Insurance Authorization Associate to join the team. This role will be full-time 9:30am - 6:00pm M-F/ Hybrid following initial 90-days on-site training.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits [KS1]

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities

Job Responsibilities

• Performs standard payer authorization submissions for routine services, including imaging, procedures, surgeries, and admissions, following established workflows.
• Processes high-volume, lower-complexity authorization and preservice financial clearance requests while maintaining productivity and quality standards.
• Verifies patient eligibility and insurance benefits and ensures accuracy of demographic, insurance, and registration information to support clean authorization submissions.
• Ensures required medical documentation and order information are complete prior to submission of authorization requests.
• Submits authorization requests through payer portals, electronic workflows, or automated tools and tracks authorization status through completion.
• Utilizes Epic workflows, automation tools, and decision support systems to support efficient authorization processing.
• Escalates complex payer policy issues, medical necessity concerns, or cases requiring appeals or peer-to-peer review as appropriate.
• Provides clear and professional customer service when communicating with patients regarding authorization requirements and financial responsibility.
• Maintains foundational knowledge of insurance plans, payer policies, and pre-service authorization workflows.
• May perform additional duties as assigned.

Additional Requirements

• Experience - 1 year of healthcare revenue cycle, patient access, insurance verification, authorizations, or customer service experience
• Education - High school diploma or GED

Preferred Candidate Profile

• Strong background in healthcare authorization, patient access, revenue cycle, or preservice financial clearance.
• Experience working with complex specialty services and payer authorization requirements.
• Knowledge of insurance eligibility, benefits verification, medical necessity guidelines, and financial counseling.
• Strong analytical, problem-solving, and customer service skills.
• Ability to work independently, manage multiple priorities, and thrive in a fast-paced healthcare environment.

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.