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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. Featured Benefits:[KS1]
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. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities
Job Responsibilities
- 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.
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Inova Health System
parental leave, paid time off
Aug 25, 2026