- Pacific Medical Centers (Renton, 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 Renton 620 Naches Ave SW **Work… more
- Martin's Point Health Care (Portland, ME)
- …experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP Specialist ) appeals processes and ... Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ensuring… more