Insurance Authorization Specialist - Pre Service

Inova•VA, VA

11d•$20 - $33•Hybrid

About The Position

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.

Requirements

2 years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations
High school or GED

Nice To Haves

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.

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.

Benefits

medical, dental and vision coverage
a 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