Advocacy Team Lead

Alteva RCM•New York, NY

2d•$70,000 - $90,000

About The Position

The Advocacy Team Lead manages a team of 3–5 associates handling out-of-network authorization requests from intake through final determination. The role is accountable for team performance and work quality, monitors daily tasks, supports team members, and addresses issues that could affect productivity or accuracy. The Team Lead also serves as a communication bridge between the team and leadership, helping ensure goals and expectations are understood and achieved. The position requires expertise in insurance policy, case strategy, and driving approvals. The Team Lead owns new-employee training through independent advocate work, coaches and supports team members, coordinates workflows and delegated tasks, and communicates team status and improvement needs to management. Performance is evaluated using measures including approval rates, case volume and duration, accuracy, timely submissions, Salesforce hygiene, productivity, new-hire ramp time, engagement, and retention.

Requirements

Resourceful and persistent problem-solving skills, with comfort navigating complex insurance situations.
Strong organization and attention to detail, including time management and the ability to manage a team.
Strategic thinking and the ability to analyze policy language and develop creative, compliant approaches to achieve favorable outcomes.
Clear, respectful, and confident communication with insurers, providers, patients, and internal stakeholders.
Self-motivated, able to work independently, take ownership of outcomes, and consistently seek to learn and improve.
Ability to collaborate cross-functionally with remote team members, upper management, coders, IT, clients, insurance carriers, in-network and out-of-network providers, and patients.

Responsibilities

Be accountable for the performance and behavior of the entire team, escalating concerning or improper behavior when needed.
Model positive behavior, a strong work ethic, and adherence to company expectations.
Use Salesforce reporting to oversee daily team operations and ensure tasks are completed accurately and on time.
Identify workflow issues or obstacles and inform solutions that improve efficiency and outcomes.
Own the new-employee training process from inception through independent advocate work.
Coach, provide feedback to, and support team members in managing cases and escalating issues.
Apply expertise in insurance policy and case strategy to help drive approvals.
Collaborate with peers on best practices for navigating individual insurance policies and complex cases.
Liaise between specialty teams, including coders, IT, and executives, and operations and leadership.
Maintain efficient workflows while coordinating and delegating tasks as needed.
Identify team members’ strengths and weaknesses and create improvement plans; proactively inform management when needed.
Provide timely updates, reporting, and weekly status reports to leadership.
Own team meetings, hold weekly one-on-ones with all team members, and conduct office hours twice weekly.