Insurance Authorization Lead

Inova•Fairfax, VA

5d•Hybrid

About The Position

Inova Fairfax Hospital is looking for a dedicated Insurance Authorization Lead to join the team. This role will be Hybrid; Monday-Friday, 9:00 AM – 5:30 PM with an occasional rotating weekend shift (Saturday). 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.

Requirements

High School or GED
Five (5) years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations

Nice To Haves

Authorization experience on payer portals
Oncology experience is a plus
Comfortability in training other staff members & working on a team

Responsibilities

Serves as the primary team lead and operational resource, providing day‑to‑day guidance on workflows, payor requirements, authorization processes, preservice financial clearance, and estimate workflows.
Oversees team productivity, work queues, turnaround times, and performance metrics—including authorization timeliness, clearance completion, estimate accuracy, and denial prevention—to ensure service level and operational standards are met.
Performs and supports complex authorization activities across multiple service lines, including high‑acuity and specialty services requiring advanced medical policy interpretation and cross‑functional coordination.
Ensures preservice workflows are completed accurately and timely, including authorizations, medical necessity validation, financial clearance, and patient responsibility estimates in alignment with financial transparency standards.
Conducts routine quality audits of authorization, preservice, and estimate processes to ensure accuracy, compliance with payor guidelines, and adherence to organizational policies.
Analyzes workflow outcomes, denial trends, and operational gaps to identify root causes and recommend process improvements, automation opportunities, and workflow optimization initiatives.
Provides mentoring, coaching, and onboarding support to strengthen team knowledge and performance; serves as a liaison between frontline staff and leadership while providing operational coverage as needed to maintain workflow continuity.
Oversees and assists team members in assigned functional area, which may include but not limited to, ensuring team is meeting key-deliverables and quality standards, addressing and resolving challenges, managing and tracking performance, and assisting in time management and scheduling; escalates issues to senior leaders as needed.
May perform additional duties as assigned.

Benefits

medical, dental and vision coverage
robust team member wellness program
Inova matches the first 5% of eligible contributions – starting on your first day.
up to $5,250 per year in education assistance
up to $10,000 for student loans
25 mental health coaching or therapy sessions, per person, per year, at no cost.
paid time off
paid parental leave
flexible work schedules
remote and hybrid career opportunities