Marcia Markham Email & Phone Number

United States

Brevard County, Florida

Multi-Industry accomplished and experienced, bi-lingual human resource professional with extensive experience in the medical, Housing placement, Counseling, career workforce, workforce Readiness & Diversity and customer service fields. Recognized by peers and supervisors for cultivating strong relationships with community, customers, and colleagues effectively and efficiently, proven record of successfully managing projects, and developing and implementing training programs.• Develop internal relationships with staff and external relationships with business customers and grant enrollees that result in placement of individuals • Manage placement data and track program data for enrolled and placed participants to ensure outcomes are accurate and complete. Provide any conflicting information to program manager, employer of record for correction and processing. • Support Industry Relations and Business Services team to ensure measures and objectives are finished. Provide multi industry team business development opportunities to place enrolled participants and increase awareness of programs and services. • Attend weekly meetings and lead appropriate topics pertinent to program and grant success. • Quality Control files and data to ensure audit compliance of grant performance. • Business Account Manager for both employer of record agencies Spherion, QLM and 22nd Century. Prescreen and prepare participant to appropriate assignment by ensuring that customer completes all pre-requisites for employment including testing if necessary. • Assist participant in developing individual employment/placement plan; establish short- and long-term goals and outcomes. • Accomplished the finalization of the NDWG grants Federal audits at a 98% success. • Ensured that data entry requirements where completed bi-monthly and that all data tracking systems accurately reflected the project activities

Rockledge, Florida, United States

Supported the coordination of care for clients and process of paperwork and insurance information. Send PCP forms for patient concerns, Prepare daily billing to be submitted in a timely manner. Set up appointment for psychiatric evaluation, follow-up and reschedules face to face for Telehealth/Breakthrough. Assist with Medications authorizations requests directly from the pharmacies and resolving issues with prescriptions renewals, modification to include appeals with insurance companies. Interact with clients, caregivers, outside agencies, and other staff in a professional and courteous manner. Approve Staff Payroll, Complete required Essential Learning trainings within designated time frame.

Melbourne, Florida, United States

Process all denial, approval, modified approvals, and communicate decision to member, referring physician, provider and health plan according to appropriate full/partial delegation requirements. • Assisted with the precertification process by researching problems, pulling cases for peer-to-peer and reconsideration review • Document rationale for recommendations of denial/ denial decisions in the precertification system Work with the NU Team Leader to ensure the "back-end" process operates in compliance with client contracts and URAC guidelines: • Assist with recording and cataloging all actions/ decisions. • Assist with processing of all reconsiderations, formal appeal requests, and peer-to-peer reviews and communicated decisions through the appropriate channels. • Assisted with tracking quality improvement indicators

Melbourne, Florida, United States

Customer Inquiries and Medical Professional Support Role • Understand and document plan information related to authorization processes and status, • Covered benefits and exclusions, including prescription drug coverage, eligibility, enrollment and disenrollment, participating providers, claims payments and processes, premium billing, and plan guidelines, and • Provided accurate and professional service to Customers by using Amysis, Care Mgr, SCM, Skylight, Healthx, CSA, Centricity and adhering to department policies. Discharge Follow Up, Explanation of dx, Making and confirming all follow up appointment

Evanston, Il

Responsible for all forms of marketing and media communication, serving as the volunteer spokesperson for the organization. Developed and implemented community involvement and media relationship strategies. Additional responsibilities included facilitating all events, developing and facilitating marketing strategies for events and collaborating with key community representatives. Responded to community request for further organization partnership and boosted donations by 90%, Developed & implemented marketing and communication strategies that open doors for better community involvement, Participate in community events to make Calle Panama organization a well known organization in the community.

Cocoa, Florida, United States

•Bilingual- English / Spanish•Translator for the Hispanic Customer & Company Documents•Represent BJL and the Kaiser Group on the Board of HR (SCHRA & SHRM) as the Workforce Readiness and Diversity Director.•Facilitate workshops such as employment, Job Club & Pre employment.•Represent Brevard Job Link in Community awareness Presentations.•Accomplish customer job placements by referrals thru the Job Club and direct networking with employers.•Instruct job applicants in presenting a positive image by providing help with resume writing, personal appearance, and interview techniques. •Interview job applicants to match their qualifications with employers' needs, recording and evaluating applicant experience, education, training, and skills. •Liaison for the Reduction In Force Team

•Counseling, scheduling procedures, project management skills, proven ability to prioritize and complete multiple tasks, contacts with community agencies, and family support•Personnel management, issues mediation, and contract management.•Served as a leader on treatment team in order to provide treatment plan for client inside our out of facility•Responsible in conducting parenting classes, group and house meetings.•Presented team with treatment plans and resolution to center’s needs. •Supervised 10 personnel 22 clients, establishing priorities, delegating duties, responsibilities and coordinating projects and services.•Developed employee’s potential through performance counseling and training•Coordinated and provided direct services to clients.

Hr/Healthcare Management, Human Resources Management/Personnel Administration, General

Phr Training, Human Resources Phr

Activities and Societies: Space Coast Human Resources Association (Workforce Readiness and Diversity Director)

Medical Administration Assistant- Ma, Law & Ethics, A