Program Technician
Prior Authorization Review · Analyze and manage prior authorization requests (PAR's); data entry · Complete reviews within 10 business day time frame · Input PAR's into Acute Care System for RN review · Manage accounts/provider's call log; returning calls within 24 hrs. (contractual requirement) · Query and run reports to transmit completed PAR's to Affiliated Computer Services (ACS) · Process ALJ requests for the State of Colorado; beneficiary's final appeal level · Process and complete urgent PAR's within 24 hrs. (contractual requirement) · Develop and implement online PAR submission via CFMC Web portal · MMIS certified · Tested and certified in Confidentiality and Security training