• Claims Specialist - USFHP

    Pacific Medical Centers (Seattle, WA)
    **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...Shift:** Day **Career Track:** Admin Support **Department:** 3060 WA USFHP **Address:** WA Seattle 1310 S Judkins St **Work… more
    Pacific Medical Centers (08/27/25)
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  • Appeals Quality and Training Specialist…

    Martin's Point Health Care (Portland, ME)
    …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... Martin's Point Health Care, including Medicare Advantage, US Family Health Plan ( USFHP ). + Demonstrates advanced knowledge of enrollment / disenrollment guidelines, … more
    Martin's Point Health Care (10/07/25)
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