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Open to opportunities

Natasha Forde linton

@natashafordelinton

Detail-oriented bilingual Healthcare Investigator with a passion for outcomes.

United States
Message

What I'm looking for

I am looking for a role that allows me to leverage my investigative skills in healthcare compliance and credentialing, while also fostering a collaborative team environment focused on improving patient outcomes.

I am a detail-oriented and bilingual Healthcare Investigator with extensive experience in healthcare investigations, credentialing, and financial operations. My proven ability to manage complex medical cases and ensure compliance with healthcare policies has allowed me to collaborate effectively across departments. I am fluent in Spanish and CPR certified, driven by a passion for improving healthcare outcomes and supporting team goals.

In my current role at Kings County Hospital, I review and submit complex healthcare cases for administrative decisions, conduct investigations related to hospital care programs, and oversee medical assistance services. My analytical skills enable me to identify patterns and inconsistencies in medical records and financial data, ensuring accurate and timely claims reimbursement by liaising with insurance companies.

Previously, as an Account Specialist Supervisor at Newport Credentialing, I verified provider credentials and maintained database accuracy, supporting special projects and process improvements. My experience as a Bank Teller further honed my attention to detail and customer service skills, which I apply in every aspect of my work.

Experience

Work history, roles, and key accomplishments

KH
Current

Healthcare Investigator

Kings County Hospital

Aug 2018 - Present (6 years 11 months)

Reviewed and submitted complex healthcare cases for administrative decisions. Conducted investigations related to hospital care programs and policy compliance, collaborating with supervisors on accounting, billing, and financial reviews. Oversaw and coordinated medical assistance services in assigned departments, analyzing medical records and financial data to identify patterns and inconsistencies

NC

Account Specialist Supervisor

Newport Credentialing

May 2017 - Present (8 years 2 months)

Verified provider credentials and enrollment information to ensure payer compliance. Enrolled physicians with insurance networks and maintained database accuracy. Supported special projects and credentialing process improvements, maintaining records, logs, and compliance documentation to meet strict deadlines.

CB

Bank Teller

Citi Bank

Nov 2015 - Present (9 years 8 months)

Reviewed and submitted complex healthcare cases for administrative decisions. Conducted investigations related to hospital care programs and policy compliance. Collaborated with supervisors on accounting, billing, and financial review, overseeing and coordinating medical assistance services in assigned departments.

Education

Degrees, certifications, and relevant coursework

Natasha hasn't added their education

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Tech stack

Software and tools used professionally

Availability

Open to opportunities

Location

United States

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Natasha Forde linton - Healthcare Investigator - Kings County Hospital | Himalayas