Prior Authorization Specialist

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 authorization-related issues to support timely claims processing
• Maintain accurate records and documentation in the electronic health record
• Support insurance verification and pre-registration activities as needed

Qualifications:

• High school diploma or equivalent required
• At least one year of prior authorization experience required
• Strong organizational, communication, and problem-solving 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)