Natasha Fortune, Ma Email & Phone Number

United States

United States

● Establish professional relationships with physicians, hospitals, skilled nursing facilities, discharge planners, case managers, social workers, and other healthcare decision-makers.● Foster positive connections between the home health agency and external stakeholders.● Obtain referrals for home care services from healthcare professionals.● Ensure timely communication and coordination with family members or caregivers.● Educate patients and their families about available services and obtain necessary consents.● Identify opportunities to participate in community events, health fairs, and educational seminars.● Raise awareness of home health services within the community.● Access to Care: Facilitate access to needed medical and mental health services for enrolled Health Home members and their families.● Assist with appointments, social service benefits, and community resources.● Network Building: Develop and maintain a strong network between the home health agency and hospitals, primary care physician offices, rehabilitation centers, and other healthcare facilities.

United States

Educate providers on Smart Health Insurance product for specific markets, i.e. Connecticut, Wisconsin, Maryland, Oklahoma, DC & IllinoisEducate provider on proper coding utilizing ICD-9 and CPT procedure manualCreate and provided provider fee schedule for payment of claims receivedContract implementation and negotiationClaims resolution assistanceUnderstanding of managed care contract terms and financial models, claims adjudication, referral authorization process, recruitment and credentialing processes, including provider and member appeal policies.Capable of analyzing information related to provider issues and effectively problem solveFrequently worked on data analyst projects such as member demographic analysis and market analysis.

Master Of Arts (M.A.), Human Services: Health And Wellness

Bachelor Of Science (B.S.), Health Services/Allied Health/Health Sciences, General