Role Description
This role is the front door and the follow-through. You will be the first voice clients, providers, and referral partners hear when they contact Anchor Co-living, and you will also own the prior authorization workflow from submission to resolution. It is the right fit for someone with healthcare front-desk or administrative experience who is ready to take on more technical responsibility and wants work where both how you communicate and how precisely you execute actually matter.
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Answer inbound calls and inbox from members, care coordinators, providers, and referral partners -- handling inquiries, taking messages, scheduling, and resolving requests on the first contact whenever possible.
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Collect and verify member information, insurance details, and reason for contact at the start of every interaction, documenting accurately in the EHR.
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Verify Medi-Cal eligibility and MCP enrollment during intake and scheduling calls.
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Coordinate care-related logistics between members and clinical or operational staff.
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Prepare and submit prior authorization requests to the correct Medi-Cal health plan using payer portals and internal workflows.
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Track active authorization requests daily by status (approval, pending, or denial) and keep all documentation current.
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Investigate denials, identify missing or incomplete documentation, and resubmit requests promptly to minimize delays in member access to care.
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Build consistent, professional relationships with members and partners who contact Anchor Co-living regularly -- becoming a reliable presence they recognize and trust.
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Manage a high volume of calls and open authorizations simultaneously, staying organized and accurate across both.
Qualifications
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1+ years of experience in a medical front desk, virtual receptionist, or healthcare administrative role.
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Experience submitting prior authorizations to U.S. health plans.
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Professional phone manner with the ability to manage high call volume calmly and consistently.
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Comfort working in payer portals and EHR systems.
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Familiarity with ICD-10 codes and basic medical terminology.
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Experience and understanding of HIPAA privacy and security requirements.
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Strong multitasking skills -- able to manage open calls, scheduling tasks, and active authorizations without dropping details.
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Fluent professional and conversational English, both spoken and written.
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Ability to work full-time during Pacific Time business hours in a remote environment.
Requirements
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Helpful additional experience includes Spanish fluency, direct knowledge of California Medi-Cal or CalAIM Community Supports, experience with denials and appeals, and a background in behavioral health, substance use, or housing-related services.
Benefits
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Pay rate: $10-$13 USD per hour
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Employment type: Contractor
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Work Location / Schedule: Remote, based in Latin America. Candidates may be located in Mexico, Colombia, Argentina, Peru, Costa Rica, or another LatAm country with stable infrastructure.
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Schedule: Monday through Friday, 8:00 AM to 5:30 PM Pacific Time.
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Candidates must have a private home office and wired internet of at least 50 Mbps.