Marquita Nicole Prince

**** ******** ***, ***. ****

Tampa, FL 33615

727-***-****

Objective: To secure a permanent position that allows for growth and

advancement

PROFESSIONAL EXPERIENCE:

12/09- Present Wellcare, Inc.

Authorization, Intake

Coordinator

. Receive medical inquests via phone or fax from medical

providers

. Review referrals and verify all physician information

. Determine need for case management intervention

. Create and authorize medical requests contingent upon

medical necessity

05/09-11/09 CareCentrix

Eligibility, Benefits and

Authorization Specialist

. Ensured all patient demographic and insurance info is

current and correct.

. Verified insurance coverage via telephone and web

portals.

. Ensured all prior authorization or referrals are

obtained before rendering services.

. Communicated efficiently and professionally both

written and oral with insurance companies.

. Notified consumers and providers of discrepancies in

a timely manner.

07/05-05/09 CCS Medical

Clearwater, FL

Payment Poster

. Posted monetary revenue from patient and insurance

carriers.

. Balanced money posted to daily deposit ledger.

. Assisted in training of new hires and current

employees.

. Achieved stated revenue goals and objectives

outlined by Team Leaders or department focus

groups.

. Followed all current Medicare, Medicaid and Private

insurance regulations and requirements to ensure

continual compliance.

8/03-6/04 SWTCC

Memphis, TN

Case Manager Specialist

Directed and assisted team members in promoting career

development and advancement for Families First clients.

. Prepared clients for entry into the labor market or

Post Secondary training through classroom

instruction/individual counseling.

. Developed and maintained current employment

database, while establishing business partnerships

with public and private employers.

. Trained all new hires on company policy and

procedures

06/02-06/03 Shelby County Sheriff's Office

Memphis, TN

Corrections Deputy

. Coordinated and supervised all inmate movement in a

correctional setting.

. Guarded inmates on all outside appointments.

. Assisted in training new deputies on policy and

procedure.

. Supervised inmate visits from outside visitors.

. Prepared daily detailed reports on all inmate

activities.

11/98-05/02 SWTCC

Case Manager Specialist

Memphis, TN

. Directed and assisted team members in promoting career

development and advancement for Families First

clients.

. Prepared clients for entry into the labor market or

Post Secondary training through classroom

instruction/individual counseling.

. Developed and maintained current employment database,

while establishing business partnerships with public

and private employers.

. Trained all new hires on company policy and procedures

EDUCATION: Edu Tech Center

Clearwater, FL

08/04-5/05 Medical Billing and Coding

01/08 - Present St. Petersburg College

Clearwater, FL

Psychology

CERTIFICATIONS: Certified Billing/Coder (CBC)

Clearwater, FL

5/2005

06/2002 Shelby County Sheriff's Office

Memphis, TN

Direct Supervision Certified

COMPUTER SKILLS: Microsoft Word, Ten Key, PowerPoint, Excel,

Navinet, Microsoft Outlook, EMMA

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