Advocacy Team Lead

Job Description

Job Description

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 Team Lead manages a team of 3-5 associates handling out-of-network authorization requests from intake through final determination. They are responsible for their team's performance and maintaining high-quality work standards. They monitor day-to-day tasks, provide support, and address any issues that may impact productivity or accuracy.

Additionally, they serve as a communication bridge between the team and leadership, ensuring goals and expectations are clearly understood and achieved.

Key Responsibilities

• Responsible for overall performance of their entire They are expected to answer for the behaviors and performance of their entire team, and, where needed, escalate concerning or improper behaviors.
• Role model positive behavior, work ethic, and adherence to company
• Use Salesforce reporting to oversee daily team operations to ensure tasks are completed accurately and on
• Help identify and inform solutions to workflow issues or obstacles preventing efficiency and optimal
• Own training process for new employees from inception to independent Advocate.
• Provide coaching, feedback and support to help team members manage cases and escalate where Be an expert in insurance policy, case strategy and driving approvals.
• Collaborate with other peers to strategize on best practice to navigate individual insurance policies and complex
• Act as a liaison between specialty teams (coders, IT, execs), operations and leadership.
• Maintain efficient workflows while coordinating and delegating tasks as
• Effectively identify strengths and weaknesses of all team members and create improvement plans to help support Proactively inform management when needed.
• Deliver timely updates, reporting, and weekly status reports to
• Ownership of individual team meetings, weekly 1:1 with all members of team, and twice weekly office

Key Performance Indicators (KPIs):

• Team approval rate
• Total team case volume
• Average case duration (intake to determination)
• Case accuracy (documentation, coding alignment, policy interpretation)
• Timely submission rate (authorizations and appeals within payer deadlines)
• Salesforce hygiene (proper staging, documentation, and task management)
• Advocate productivity and new hire ramp time
• Team engagement and retention

Required Skills & Competencies

• Problem Solving: Resourceful, persistent, and comfortable navigating complex insurance
• Organized & Detail-Driven: Strong time management skills with the ability to manage team of
• Strategic Thinking: Able to analyze policy language and develop creative, compliant approaches to achieve favorable
• Professional Communication: Clear, respectful, and confident when interacting with insurers, providers, patients, and internal
• Self-Motivated: Works independently, takes ownership of outcomes, and consistently seeks to learn and
• Cross-Functional Collaboration: With remote team members, Upper Management, Coders, IT, Clients, Insurance Carriers, In-Network & Out-of- Network Providers, and Patients

Tools & Systems

Case & Reporting Platforms: Salesforce, QuickBase, Power BI Communication: Microsoft Teams, Email, Phone

 

Pay Range

$70,000—$90,000 USD

 

Benefits

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.