Referral and Authorization Coordinator

Anchor Co-Living is seeking an Intake & Prior Authorization Specialist to help convert incoming healthcare referrals into approved placements. This role combines relationship-building, intake coordination, eligibility verification, prior authorizations, and follow-up to ensure individuals gain timely access to housing and care services.

Key Responsibilities

• Manage inbound referrals from hospitals, care coordinators, behavioral health teams, community partners, and individuals seeking services.
• Build strong relationships with referral partners and provide responsive follow-through.
• Collect and document complete intake information.
• Verify Medi-Cal eligibility and managed care plan enrollment.
• Submit and track authorization requests through payer portals and internal systems.
• Monitor approvals, denials, and pending requests; resolve documentation issues and resubmit as needed.
• Maintain accurate records in the EHR and manage multiple referrals simultaneously.

Qualifications

• 2+ years of experience in healthcare intake, prior authorization, or medical billing.
• Experience submitting authorizations to U.S. health plans.
• Familiarity with payer portals, EHR documentation, ICD-10 codes, and medical terminology.
• Strong organizational, communication, and problem-solving skills.
• Fluent professional English (written and spoken).
• Ability to work full-time during Pacific Time business hours.

Preferred

• Spanish fluency.
• Knowledge of California Medi-Cal and/or CalAIM Community Supports.
• Experience with denials, appeals, behavioral health, substance use, or housing-related services.

What Success Looks Like

• Accurate, timely referral documentation.
• Efficient authorization submission and follow-up.
• Early identification of eligibility or documentation issues.
• Positive relationships with referral partners.
• Smooth handoff of approved members with complete records.

Benefits & Support

• One week of paid onboarding and training.
• Direct supervisor support, clear expectations, and ongoing feedback.

Requirements

• Private home office.
• Wired internet connection with at least 50 Mbps speed.

Pay: $10-$13 USD/hour

Type: Contractor, Full-Time (40 hours/week)

Schedule: Monday-Friday, 8:00 AM-5:30 PM Pacific Time

Location: Remote