Virtual Medical Recepcionist

Anchor Co-Living

13h • Remote

About The Position

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.

Requirements

• 1+ years of experience in a medical front desk, virtual receptionist, or healthcare administrative role.
• Experience submitting prior authorizations to U.S. health plans.
• Professional phone manner with the ability to manage high call volume calmly and consistently.
• Comfort working in payer portals and EHR systems.
• Familiarity with ICD-10 codes and basic medical terminology.
• Experience and understanding of HIPAA privacy and security requirements.
• Strong multitasking skills -- able to manage open calls, scheduling tasks, and active authorizations without dropping details.
• Fluent professional and conversational English, both spoken and written.
• Ability to work full-time during Pacific Time business hours in a remote environment.
• Candidates must have a private home office and wired internet of at least 50 Mbps.

Nice To Haves

• Spanish fluency
• Direct knowledge of California Medi-Cal or CalAIM Community Supports
• Experience with denials and appeals
• Background in behavioral health, substance use, or housing-related services

Responsibilities

• 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.
• Collect and verify member information, insurance details, and reason for contact at the start of every interaction, documenting accurately in the EHR.
• Verify Medi-Cal eligibility and MCP enrollment during intake and scheduling calls.
• Coordinate care-related logistics between members and clinical or operational staff.
• Prepare and submit prior authorization requests to the correct Medi-Cal health plan using payer portals and internal workflows.
• Track active authorization requests daily by status (approval, pending, or denial) and keep all documentation current.
• Investigate denials, identify missing or incomplete documentation, and resubmit requests promptly to minimize delays in member access to care.
• Build consistent, professional relationships with members and partners who contact Anchor Co-living regularly -- becoming a reliable presence they recognize and trust.
• Manage a high volume of calls and open authorizations simultaneously, staying organized and accurate across both.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed