An Operations Supervisor manages daily operations and activities for a company or organization. Primarily involved in supervising and coordinating the activities of front-line employees such as monitoring work progress, providing training, and ensuring compliance. Has authority over the work of their team members but typically reports to higher-level management.
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.
Featured Benefits:
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 Lead Job 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.
Minimum Qualifications:
Education:
High School or GED Experience:
Five (5) years of healthcare revenue cycle, patient access, authorizations, preservice financial clearance, or related healthcare operations
Preferred Qualifications :
Experience :
Authorization experience on payer portals; Oncology experience is a plus
Other :
Comfortability in training other staff members & working on a team
