Natasha Forde linton
@natashafordelinton
Detail-oriented bilingual Healthcare Investigator with a passion for outcomes.
What I'm looking for
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
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
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.
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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