Care Access and Authorization Specialist
Company Overview
Anchor Co-Living provides transitional and supportive housing for people on Medi-Cal who need a safe place to recover, stabilize, and move forward. We support California's CalAIM Community Supports program and work with Medi-Cal health plans across five California counties. As a growing team, we rely on strong operators who can help members access services quickly and accurately.
The Opportunity
This role sits at the center of referral intake, health plan authorization, and member access. You will help turn urgent calls from hospitals, care coordinators, and community partners into approved placements, making sure each case moves forward with speed, accuracy, and compassion. For someone with healthcare intake or authorization experience, this is a chance to take on meaningful work with visible impact and build deeper expertise in Medi-Cal and care coordination workflows.
What You'll Do
- Answer inbound calls from hospital discharge planners, MCP care coordinators, county behavioral health teams, and other referral partners.
- Gather the right intake details, ask clear follow-up questions, and create complete referrals our team can act on.
- Verify Medi-Cal eligibility and MCP enrollment when possible during the initial call.
- Prepare and submit authorization requests to the correct Medi-Cal health plan, then track each case through approval, pend, or denial.
- Investigate denials, collect missing documentation, and resubmit requests to keep qualified members moving forward.
- Maintain timely, accurate documentation in the EHR and coordinate smooth handoff to the regional Community Manager once a member is approved.
What Success Looks Like
In the first 6 to 12 months, a strong performer in this role will:
- Consistently turn incoming calls into complete, accurate referrals without unnecessary back-and-forth.
- Log referrals promptly and maintain a clean audit trail for every member case.
- Submit authorization requests correctly and follow them closely until resolution.
- Catch documentation, eligibility, or compliance issues early enough to prevent avoidable denials.
- Earn trust from referral partners and internal teams by being responsive, calm under pressure, and reliable with follow-through.
What We're Looking For
We are looking for someone who is both service-minded and highly organized. This role is a fit for a person who can handle a sensitive phone conversation one moment and manage detail-heavy authorization work the next.
Preferred qualifications include:
- 2+ years of experience in healthcare intake, prior authorization, or medical billing
- Experience submitting authorizations to U.S. health plans
- Comfort working in payer portals and EHR systems
- Working knowledge of ICD-10 codes and basic medical terminology
- Fluent professional English, spoken and written
- Ability to work independently in a remote setting with strong attention to detail
Additional strengths include Spanish fluency, experience with California Medi-Cal or CalAIM Community Supports, denial and appeal handling, and background in behavioral health, substance use, or housing services. A college degree is not required.
Compensation and Benefits
- $10-$13 USD per hour
- 1099 contractor role
- 40 hours per week
- One week of paired onboarding and training before handling calls independently
- Direct access to your supervisor for questions and support
- Clear written expectations and feedback
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.
Schedule: Monday through Friday, 8:00 AM to 5:30 PM Pacific Time.
Candidates must have a private home office and wired internet at 50+ Mbps.
How to Apply
Apply if you have healthcare authorization experience, communicate well under pressure, and want a role where strong execution directly helps people access housing and care.