Authorization Senior Associate

About Us
At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.
Position Summary
The Authorization Senior Associate is an advanced individual contributor responsible for managing complex authorization cases while serving as a key operational resource for the Authorizations team. This role is designed for experienced authorization professionals who demonstrate strong insurance knowledge, leadership potential, and a desire to grow into future Team Lead responsibilities.
The Senior Authorization Specialist serves as a subject matter expert for authorization workflows, payer requirements, and authorization strategy. In addition to managing a personal caseload, this individual supports team success by mentoring peers, assisting with training and onboarding, helping identify workflow issues, and providing day-to-day guidance to team members.
Working closely with Team Leads and Management, the Senior Authorization Specialist helps maintain productivity, quality, and accountability across the department while developing leadership skills necessary for future advancement opportunities.
Advanced Authorization Management
Manage high-volume and complex authorization requests from intake through final determination.
Navigate payer requirements, authorization criteria, medical necessity guidelines, and documentation requirements.
Analyze insurance policies and payer rules to identify authorization pathways and escalation opportunities.
Maintain accurate and complete documentation within departmental systems.
Proactively follow up with insurance carriers to prevent delays and drive timely determinations.
Team Support & Leadership Development
Serve as a resource for Authorization Associates by providing guidance on workflows, payer requirements, and case strategy.
Assist with onboarding and training new team members through coaching, shadowing, and process support.
Model professionalism, ownership, and leadership behaviors expected of future leaders.
Operations & Workflow Excellence
Assist with workload balancing and daily workflow prioritization.
Monitor aging inventory and identify requests requiring urgent attention.
Identify operational bottlenecks and recommend workflow improvements.
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