Authorization Senior Associate

Alteva RCM; New York (NY); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Employee assistance program

Paid family leave

Short-term disability

Life insurance

401(k) with employer match

Flexible spending accounts

Employee discount program

Employee referral program

Job summary

Alteva RCM in the United States is seeking a Senior Authorization Specialist to manage complex authorization cases from intake to final determination. You will serve as a subject matter expert on workflows, payer requirements, and medical necessity guidelines

In addition to handling your own caseload, you will mentor peers, assist with onboarding, and help identify workflow improvements. This role prepares you for leadership responsibilities within the team.

Qualifications

• 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 and managing complex authorization cases.

Responsibilities

• 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.
• Mentor peers and assist with onboarding, training, and process support.

Skills

Healthcare authorizations

Utilization management

Insurance verification

Revenue cycle management

Operations

Education

High School Diploma

Associate or Bachelor degree preferred

Tools

Salesforce

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

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.
• 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 - $80,000 USD

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.