Remote Medical Authorization Jobs (NOW HIRING)

Company Description
WHO IS GUIDEHEALTH?
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Job Description
The Healthguide is a key member of Guidehealth's care delivery model, serving as a bridge between patients, their primary care physicians and specialty providers, community resources, and the Guidehealth clinical team. This role blends non-clinical patient navigation with foundational clinical insight, helping patients overcome barriers to care, strengthening relationships with medical practices, coordinating resources, and supporting whole-person health.
The Healthguide engages patients remotely and occasionally in person to help them understand their health needs, navigate medical and social systems, close gaps in care, and progress toward optimal health outcomes. In this position, you will support Guidehealth's mission to empower patients, reduce the cost of care, and promote efficient, compassionate healthcare delivery by leading with empathy.
WHAT YOU'LL BE DOING
Patient Engagement & Navigation

• Build trusting, ongoing relationships with patients, families, caregivers, and medical/behavioral health providers.
• Engage high-risk or targeted patient populations using bi-directional communication to address health questions, concerns, and care needs.
• Identify and assess medical, behavioral, social, emotional, and financial needs to support whole-person care.
• Support patients in understanding and following care plans, health goals, and preventive care needs, including education and motivational interviewing.
• Conduct non-clinical assessments, surveys, and interventions to help patients navigate medical, behavioral, and social systems.

Care Coordination & System Navigation

• Strengthen the connection between patients and their healthcare providers by addressing barriers, facilitating communication, and coordinating follow-up.
• Assist with referrals, transportation, appointment scheduling, and linkage to specialty care or community-based resources (CBOs).
• Utilize knowledge of referral processes, prior authorizations, gaps in care, SDOH factors, and community programs to improve patient outcomes.
• Escalate medical issues appropriately to RN Care Managers, Social Workers, PCP offices, or Guidehealth leadership.

Documentation & Technology

• Accurately and promptly document all interactions, assessments, and interventions in the electronic health record (EHR) and Guidehealth documentation systems.
• Demonstrate comfort using various EHR platforms (e.g., Epic, Athena, Cerner), analytics tools, and Microsoft Office.
• Manage referrals, track tasks, complete reconciliations, and maintain detailed records according to Guidehealth policies.

Collaboration & Performance

• Work independently while collaborating closely with Guidehealth case management teams and medical practice staff.
• Meet assigned Key Performance Indicators (KPIs) tied to patient engagement, health outcomes, and reduction of medical spend.
• Participate in Guidehealth meetings, training sessions, and quality-of-care initiatives.

Compliance & Professional Standards

• Follow all HIPAA, PHI security, and Guidehealth privacy policies.
• Maintain professionalism, compassion, empathy, cultural competence, and sound judgment in all interactions.

Qualifications
WHAT YOU'LL NEED TO HAVE
Education & Certifications
Certified Medical Assistant (preferred) OR

• Certified Community Health Worker/Assistant OR
• Licensed Practical Nurse or degree in a healthcare-related field with relevant experience OR
• Certified Emergency Medical Technician (preferred).
• Bachelor's Degree in health-related field (preferred).
• Patient Navigation certification preferred or willingness to obtain within 1 year.
• Bilingual English/Hindi speaking required

Experience Requirements

• At least 2-3 years of related experience in patient navigation, medical assisting, health promotion, care coordination, or similar roles.
• Equivalent experience includes working in similar roles for several years without formal certification.
• Experience working directly with patients in clinical or non-clinical settings, preferably with complex medical/social needs.
• Demonstrated experience with EHR documentation and remote-work effectiveness.

Required Skills & Competencies

• Exceptional communication: verbal, written, listening, and documentation accuracy.
• Ability to prioritize multiple tasks, manage time effectively, and work autonomously in a remote environment.
• Knowledge of medical terminology, primary care workflows, and social determinants of health.
• Familiarity with motivational interviewing, behavioral change management, and patient education principles.
• Strong customer-service orientation; diplomacy and tact in communication.

Additional Information
The base pay range for this role is between $21-$23 per hour paid bi-weekly Plus $1.50 language differential an hour
ALIVE with Purpose: How We Thrive at Guidehealth
At Guidehealth, our values come to life in everything we do.

• We are Driven by Accountability - grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.
• Always Growing, Always Learning - staying curious and continuously improving inspires us to shape a better future for healthcare.
• With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve.
• At Guidehealth, Every Voice Matters - we believe our collective strength is rooted in the unique perspectives of each team member.
• And through Empathy in Action, we build stronger connections with those who count on us.
• This is what it means to be ALIVE with purpose. This is how we thrive - together - at Guidehealth.

BENEFITS:
While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.
COMPENSATION:
The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.
OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.
As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements.
REMOTE WORK TECHNICAL REQUIREMENTS
Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.
SECONDARY EMPLOYMENT
At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest.
To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.
Videos To Watch
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