From Home Cal Ranch Jobs in Massachusetts (NOW HIRING)

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.

• 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.

We are looking for someone who is naturally calm and professional, while also being warm, outgoing, and very friendly on the phone and equally precise when shifting to authorization paperwork. The strongest candidates move fluidly between high-touch communication and detail-heavy administrative work without losing quality on either side.

Key qualifications:

• 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.

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.

Pay rate

$10-$13 USD per hour

Employment type

Contractor

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 of at least 50 Mbps.