Senior Insurance Authorization Specialist

Inova Fairfax Hospita is looking for a dedicated Insurance Authorization Specialist to join the team. This role will be Fulltime Monday-Friday 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

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. Insurance Authorization Specialist

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. Performs advanced eligibility and benefits review to validate insurance coverage and financial readiness prior to service.

Provides estimate review, financial counseling support, and handles patient inquiries related to estimates, insurance coverage, authorization requirements, and anticipated out-of-pocket responsibility while delivering strong customer service. Minimum

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

Full time