Prior Authorization Specialist

Join Bridge Community Health Clinic as a Prior Authorization Specialist and play a key role in helping patients access the care they need. This position is responsible for managing all aspects of the prior authorization process, including verifying insurance coverage, obtaining approvals for services, communicating with patients and providers, and maintaining accurate documentation within the electronic health record.

Key Responsibilities:

• Verify insurance eligibility and benefits
• Obtain, track, and manage prior authorizations for medical, dental, and behavioral health services
• Communicate authorization requirements and status updates with patients, providers, payers, and community partners
• Research and resolve authorizationrelated issues to support timely claims processing
• Maintain accurate records and documentation in the electronic health record
• Support insurance verification and preregistration activities as needed

Qualifications:

• High school diploma or equivalent required
• At least one year of prior authorization experience required
• Strong organizational, communication, and problemsolving skills
• Healthcare insurance, medical terminology, and electronic health record experience preferred
• Valid Wisconsin driver's license and reliable transportation required

Why Join Bridge Community Health Clinic? At Bridge Community Health Clinic, our mission is to remove barriers to care and improve the health of our patients and communities through integrated medical, dental, and behavioral health services. We are seeking a detail-oriented, patient-focused professional who values teamwork, accountability, and exceptional service.

Schedule: Monday-Friday, daytime hours (30 hours per week)

About Bridge Community Health Clinic

Primary Connection Health Care, Inc. dba Bridge Community Health Care is a Federally Qualified Health Center (FQHC) serving north central Wisconsin since 1995. Patients are never turned away due to their insurance status or inability to pay. Our mission is to meet community needs by removing barriers to care, delivering integrated medical, dental, and behavioral health services, and connecting patients and partners to vital resources. We believe the care we provide and the relationships we build strengthen the health of our patients and the communities we serve.