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Company Overview

Empresa confidencial provides transitional and supportive housing for people on Medi-Cal who need a safe place to recover, stabilize, and regain independence. We support California's CalAIM Community Supports program and work with Medi-Cal health plans across five counties. We are a small, growing team, and this role plays an important part in helping members move from referral to placement.

The Opportunity

This role is for someone who does more than process paperwork. You will be the person who helps convert urgent incoming referrals into approved placements by asking the right questions, documenting accurately, and staying on top of each authorization until there is a clear answer. It is a strong next step for someone with healthcare intake or prior authorization experience who wants more ownership, more visibility, and work that directly affects whether people get access to housing and care.

What You'll Do

Handle inbound referral calls from hospital discharge planners, MCP care coordinators, county behavioral health teams, and community partners.




Gather complete intake information, clarify missing details, and create referrals the team can act on quickly.
Verify Medi-Cal eligibility and MCP enrollment whenever possible during the initial interaction.
Prepare and submit authorization requests to the correct Medi-Cal health plan using payer portals and internal workflows.
Track each authorization daily through approval, pend, or denial, and keep documentation current in the EHR.
Investigate denials, resolve documentation gaps, and resubmit requests to prevent unnecessary delays in member placement.

What Success Looks Like

In the first 6 to 12 months, success in this role will look like:

Incoming referrals are documented promptly, accurately, and with minimal follow-up needed to move forward.
Authorization requests are submitted cleanly to the correct payer and tracked consistently to resolution.
Missing eligibility, clinical, or documentation d

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📌 Referral and Authorization Specialist (Bogotá)
🏢 Empresa líder
📍 Bogotá