1. Brandee Prentice
357 E Corporate DR Apt #814 Lewisville TX 75067
Bprentice1980@gmail.com 817 902-5174
My objective –to work as a Licensing Coordinator / Quality Control Analyst
And execute all duties necessary to carry out all responsibilities that are specified for the position.
Knowledge & Experience I understand the medical field as I have worked in this field for the past 13 years. I have a vast understanding of medical
guidelines, policies and state medical and Nursing board laws. My knowledge and experience I quality control allows me to work with the ultimate
goal in mind.
Staff Care AMN –Irving TX 05/2013-Present
Credentialing Specialist
• Responsible for all New License Request in 7 States (Medical and Nursing)
• Works Regularly with Time Sensitive Documents and Materials
• Gather Necessary Documents needed for state board (Medical and Nursing)
• Creates credential files from initial information received from recruiting.
• Coordinates file review and approval by Credentialing Manager as required.
• Maintains current documentation and updates in Company Database.
• Researches and obtains verification of physicians' medical experience, professional references, state licensure, DEA, CSR, state
narcotics, etc. Evaluates data and determines suitability with State Boards.
• Coordinates with hospital/clinic, medical staff, and practitioners to complete privileging process, including any additional
documentation, verifications, references, and applications necessary.
• Networks and coordinates the sharing, receipt, and/or update of information among various internal departments.
• Coordinates with state licensure boards and physicians to obtain applications, documentation, and data necessary to obtain state
licenses.
• Adhere to all company policies and procedures. Perform other duties as assigned.
Davita Rx – Coppell TX
May 1 2010 to February 11 2014
• Call out to insurance companies to gather correct copays for medications. Gathered tier levels and copay structure.
• Verify if the insurance is correct and the up to date.
• Assist clients with enrolling in Medicare Part D during open Enrollment.
• Assist with training new hire of our team.
• Identified problem with patient Medicaid and help with the corrections.
• Contacted Davita facilities for constant report from Nurses and Dietitians.
• Assisted with Prior Authorization, Customer Complaints, patient out reach.
• Researched Medicare and Medicaid Plans to find best suitable option for patient.
YMCA of Metropolitan Dallas Business Service Coordinator
(Temporary Position)
YMCA - Dallas, TX
March- 2011 to Oct -2011
Association - Process and cancel memberships.
• Determine eligibility for financial assistance.
• Take calls from members concerning problems with accounts (phone calls 85% of the day)
• Take payments on over 500 customer's accounts. (Over seeing the Whole Central Region)
• Handle member's Partners' Campaign donation request.
• Order supplies for office.
• Work side by side with the Senior Program Director partnering with Fortune 500 companies to organize
Community health fairs.
• Assist in interviewing and training new staff
• Processing A/R Reports (Adjusting accounts).
• Collections; Calling members to inform them of past due payments/ work out payment plans.
• Handling and completing end-of-the-month reports, such as New Member Report, Safety Reports, Accident/
Incident Reports, and Outsource Payment Reports.
PBM CSR

2. Delta Dallas - Irving, TX
October 2009 to April 2010
Explaining members the break down of the coverage and checking the status of there prescriptions.
Completing refills as well as Taking 70 + calls a day.
Customer Service /Supervisor/Quality Control Manager
XPS Solutions - Richardson, TX
May 2005 to October 2010
. Quality Call Analyst: ensuring that representatives keep call at a average talk time and call stay compliant.
Implemented training for scores under passing.
.Weekly quotas, Monthly sales predictions monthly budget meeting with staff.
• Handle high volume of calls covering a full range of customer service
• Maintain professional and courteous communication resulting in high call quality.
• Investigate and resolve phone inquiries in a timely manner
• Handled escalated calls as needed
• Follow proper procedures for accurate and timely documentation of customer concerns and other
Related issues
• Obtaining complete information for resolution of transactions in a prompt and professional manner
• Establish rapport with current and potential customers, ask pertinent questions and interpret information
In order to identify customer needs
• Educate current and potential customers on specific product, service and rate information in order to
Guide customer into appropriate services to suit their viewing needs and enable them to make purchasing
Decision
• Process customer transactions and respond to inquiries in a responsive, timely and accurate manner
• Meet and/or exceed departmental employee performance standards
Owner/Operator
Mrs. Bee Daycare Owner - Lewisville, TX
01/2001 to11/ 2004
• Responsible for 15 children
• Implemented daily lesson plan
• Observed children's educational functions and behaviors
• Evaluated children daily
Education
North Lake College Registered Nursing Courses/
DeVry – Healthcare Management
Skills; Proficient in SBDEV, Box, Nuance, ICE, Share Point State Boards Nursing and Medical. Proficient Medical Terminology, OSHA and HIPPA.
Excellent research skills. Accounts Receivable, Proficient in AS400, Publisher, Microsoft Word, Windows, Excel, Microsoft Office Outlook, Typing
60wpm, Personify, MS Calendars