Insurance Authorization Specialist

About the role

Inova is looking for a dedicated Insurance Authorization Specialist to join the team. This role will be Full-Time Shift = 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.

Responsibilities

• Independently manages authorization and preservice financial clearance activities for moderate to complex specialty services, including surgeries, procedures, rehabilitation services, neurology services, recurring department services, and specialty clinic treatments.
• Performs detailed review of payer medical 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.

Requirements

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

Qualifications

• 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.

Skills

• Strong analytical and problem-solving abilities.
• Excellent customer service skills.
• Ability to work independently, manage multiple priorities, and thrive in a fast-paced healthcare environment.

Benefits

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

Schedule

Full-Time Shift = 9:30am - 6:00pm M-F; Hybrid following initial 90-days on-site training.