Authorization Senior Associate

Alteva RCM; Las Vegas (NV); Presencial; USD 60 000 - 80 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health

Dental

Vision

Employee Assistance Plan

Paid Family Leave

Short-term Disability

Life Insurance

401(k) Plan with employer match

Flexible Spending Accounts

Employee Discount Program

Employee Referral Program

Resumo da oferta

Alteva RCM is seeking an experienced Senior Authorization Specialist to manage high-volume, complex authorization requests and serve as a subject matter expert for payer requirements and workflow strategies.

You will mentor peers, assist with onboarding and training, and support leadership in driving productivity, accuracy, and timely determinations across the team.

Qualificações

• 3–5 years in healthcare authorizations or related revenue cycle roles.
• Strong understanding of authorization workflows and payer requirements.
• Experience working with insurance carriers on complex authorizations.
• Proven ability to mentor or train teammates.

Responsabilidades

• Manage high-volume complex authorization requests from intake to final determination.
• Guide teammates on workflows and payer requirements.
• Assist with onboarding, coaching and training new members.
• Identify bottlenecks and recommend workflow improvements.
• Develop advanced knowledge of commercial, government and managed care payers.
• Demonstrate leadership readiness and accountability.

Conhecimentos

Organizational skills

Communication skills

Time management

Leadership potential

Formação académica

High School Diploma or equivalent

Associate or Bachelor degree preferred

Ferramentas

Salesforce

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft Teams

Descrição da oferta de emprego

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.
• Support implementation of process enhancements and best practices.

Insurance & Payer Expertise

• Develop advanced knowledge of commercial, government, and managed care payer requirements.
• Assist team members in navigating complex payer requirements and escalation pathways.
• Identify trends affecting approvals, turnaround times, and authorization outcomes.

Future Leadership Expectations

• Leadership presence and accountability.
• Ability to coach, mentor, and support peers.
• Strong decision-making and problem-solving skills.
• Readiness to assume additional leadership responsibilities as opportunities arise.

Key Performance Indicators (KPIs)

• Authorization approval rate
• Turnaround time for submissions
• Productivity and volume metrics
• Documentation quality and accuracy
• Aging inventory management
• Timely follow-up and escalation activity
• Training and mentorship contributions
• Leadership readiness and team support

Experience & Requirements

• High School Diploma or equivalent required; Associate or Bachelor degree preferred.
• 3-5 years of experience in healthcare authorizations, utilization management, insurance verification, revenue cycle management, or related healthcare operations.
• Strong understanding of authorization workflows and payer requirements.
• Experience working directly with insurance carriers.
• Demonstrated success managing complex authorization cases.
• Strong organizational, communication, and time-management skills.

Additional Qualifications

• Experience mentoring, training, or onboarding team members.
• Strong attention to detail and commitment to quality.
• Ability to influence and support peers without formal supervisory authority.
• Professional communication with providers, payers, patients, and internal stakeholders.
• Commitment to professional growth and continuous improvement.

Tools & Systems

• Case Management & Workflow Platforms: Salesforce
• Productivity & Reporting: Microsoft Excel, Word, Outlook
• Communication: Microsoft Teams, Email, Phone

Pay Range: $60,000 USD - $80,000 USD

Benefits

• Health
• Dental
• Vision
• Employee Assistance Plan
• Paid Family Leave
• Short-term Disability
• Life Insurance
• 401(k) Plan with employer match
• Flexible Spending Accounts
• Employee Discount Program
• Employee Referral Program