Insurance Authorization Associate - Pre Service

Insurance Authorization Associate
- Pre Service

VA, United States

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.

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.

• 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.

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.