Senior Insurance Authorization Specialist — Hybrid Role

Inova Health System; Fairfax, Northern (VA, KY); Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Retirement match 5%

Tuition and Loan Assistance

Mental Health Support

Job summary

Inova Health System is seeking a Senior Insurance Authorization Specialist to join our team in a full-time, day-shift role. This hybrid position supports patients across multiple service lines and requires meticulous review of complex payer requirements to prevent denials.

You will collaborate with clinicians, schedulers, and revenue-cycle leaders to ensure timely and accurate pre-authorizations. Qualified candidates will have at least four years in healthcare revenue cycle, preservice

Qualifications

• 4 years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations.
• High school diploma or GED is required.
• Bilingual Spanish is a plus.

Responsibilities

• Serve as subject matter expert for complex authorization and preservice financial clearance workflows across multiple service lines.
• Manage high-complexity authorization cases including advanced procedural services and high-acuity programs.
• Interpret payer policies to ensure compliance and prevent denial, including escalations and non-standard pathways.
• Coordinate peer-to-peer reviews, payer escalations, and complex authorization resolutions when clinical review is required.
• Collaborate with physicians, clinical teams, schedulers, and leadership to meet medical necessity and documentation requirements.
• Support denial prevention and revenue risk mitigation through proactive risk identification.

Skills

Healthcare revenue cycle

Authorization workflows

Payer policy interpretation

Communication

HIPAA compliance

Education

High school diploma or GED

Tools

Epic scheduling

Job description

Inova Health System is seeking a Senior Insurance Authorization Specialist to join our team in a full-time, day-shift role. This hybrid position supports patients across multiple service lines and requires meticulous review of complex payer requirements to prevent denials.

You will collaborate with clinicians, schedulers, and revenue-cycle leaders to ensure timely and accurate pre-authorizations. Qualified candidates will have at least four years in healthcare revenue cycle, preservice