Summary
Overview
Work History
Education
Skills
Timeline
Generic

Vida Hunt

Westland,MI

Summary

Experienced Credentialing Specialist adept at conducting application reviews and primary source verifications. Excellent relationship-building, problem-solving and communication skills.

Overview

5
5
years of professional experience

Work History

Contractual Credentialing Specialist

Development Centers
08.2020 - Current
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated applications for missing and inaccurate information.
  • Received, reviewed and verified submitted documentation needed for the credentialing process.
  • Obtained CAQH numbers for providers and updated existing profiles.
  • Enrolled providers in Medicaid, Medicare and private insurance plans.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.

Claims Examiner

Total Medical Staffing
04.2019 - 04.2020
  • Reviewed new insurance claims to determine current status of injury and to develop plan of action.
  • Collaborated with claims department to resolve claims for adjudication.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.

Credentialing Assistant

Robert Half Agency
04.2017 - 01.2019
  • Received and evaluated applications to look for missing and inaccurate information.
  • Conducted primary source verifications such as background checks and board certifications.
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Obtained NPI and CAQH numbers for providers and facilities and updated existing profiles.

Education

Bachelor of Science - Healthcare Administration

University of Phoenix
Southfield

Skills

  • Procedures Compliance
  • Internal Communications
  • Employment Recordkeeping
  • Collection and verification of new hire applications and documents
  • Council for Affordable Quality Health Care (CAQH) application requirements
  • National Provider Identifier (NPI) applications and revisions

Timeline

Contractual Credentialing Specialist

Development Centers
08.2020 - Current

Claims Examiner

Total Medical Staffing
04.2019 - 04.2020

Credentialing Assistant

Robert Half Agency
04.2017 - 01.2019

Bachelor of Science - Healthcare Administration

University of Phoenix
Vida Hunt