Professional Summary
Overview
Work History
Education
Skills
Timeline

Jayla Linton

United Healthcare, UHG
Kingwood,TX
13
years of professional experience

Analytical professional with extensive experience in provider enrollment and credentialing. Skilled in data management and document review and demonstrating accuracy and reliability in healthcare provider documentation.

Work History

Credentialing Specialist

2 Years 11 Months
United Healthcare, UHG | 09.2023 - Current
  • Analyzed provider applications to verify conformity with established regulations and internal protocols.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Analyzed and improved credentialing workflows through cross-functional collaboration with multiple departments.
  • Managed daily provider inquiries, resolving issues efficiently and supporting a seamless credentialing and onboarding process.

Claims Adjuster

4 Years 2 Months
Progressive Insurance | 06.2019 - 08.2023
  • Assessed insurance claims promptly to guarantee adherence to company standards.
  • Conducted comprehensive investigations into claims, collecting essential documentation for precise evaluations.
  • Managed comprehensive records of claims and communications within custom software systems.
  • Collaborated with policyholders and third parties to gather necessary documentation for accurate claim processing.

Audit & Tax Associate

5 Years 4 Months
Hardin Tax Service | 01.2014 - 05.2019
  • Contributed to the preparation and analysis of financial statements for client audits.
  • Collaborated with audit teams to ensure compliance with regulatory standards.
  • Conducted detailed reviews of client financial records to identify discrepancies.
  • Streamlined audit processes by implementing improved documentation practices.

Education

Bachelor of Science - Political Science

Texas Tech University | Lubbock, TX | 05.2022

High School Diploma

Andy Dekaney High School | Houston, TX | 05.2018

Skills

HIPAA compliance
Background checks
Provider enrollment
Data management
Credentialing oversight
Regulatory compliance
Accreditation information management
License verifications
Remote conferencing and communication
Data analysis

Timeline

Credentialing Specialist

United Healthcare, UHG
09.2023 - CurrentRead More

Claims Adjuster

Progressive Insurance
06.2019 - 08.2023Read More

Audit & Tax Associate

Hardin Tax Service
01.2014 - 05.2019Read More

Texas Tech University

Bachelor of Science from Political Science
Read More

Andy Dekaney High School

High School Diploma
Read More
Jayla Linton