MICAEYLA J. RANDALL
Milwaukee,Wisconsin
Summary
Personable and dedicated Human Resources Generalist with 5+ years of experience in benefits management and administration, as well as staff recruitment and development
Overview
15
15
years of professional experience
Work History
HUMAN RESOURCES AND BILLING/ ACCOUNT MANAGER
DOWNTOWN CHIROPRACTIC HEALTH & SPORTS INJURY CLINIC
CA, CT
10.2021 - Current
- The HR Manager is responsible for training new team members on company policies and procedures including HIPAA regulations and maintains knowledge of trends, best practices, regulatory changes, and new technologies in human resources, talent management, and employment law
- Overseeing the Billing department includes; reviewing claims to ensure that they are accurate and complete and approving them for payment, preparing reports on data related to claims processing, including claims denial rates and turnaround times for different types of claims, communicating with patients, physicians, insurance companies, and third party administrators on billing issues
- Ensuring that all documentation is accurate and up to date, including patient records, insurance claims, and physician orders
- Managing and overseeing all aspects of the billing department, including hiring staff and overseeing their performance, ensuring timely and accurate payment of claims to providers by submitting them to insurance companies for approval, communicating with patients about their account status and explaining any discrepancies or denials in their bills and cooperating with others within the organization to ensure that billing operations run smoothly
BILLING CARE CONSULTANT
WE ENERGIES
07.2020 - 01.2021
- Customer Care Consultants deliver superior customer service to customers ensuring every customer is a satisfied customer
- Responsibilities include identifying needs and providing energy-related solutions; handling various natural gas and/or electric emergencies; handling bill inquiries, service calls, outage reports and data entry
MEMBER SERVICES REPRESENTATIVE
COMMON GROUND HEALTHCARE COOPERATIVE
11.2019 - 01.2020
- Under the direction of the Member Services Manager, the MSR provides day to day support to the MSR I’s by answering their questions and educating on proper use of resource tools, answers telephone calls from members and providers whenever team is operating outside of predetermined Service Levels, problem solves independently to assist MSRs when they have questions that require a higher level of understanding; requests supervisory assistance when needed, provides backup support for walk-in members if Team Lead is not available, provides backup support for escalated member calls, follows operating procedures and practices to ensure the highest level of patient/member safety and care, provides a high-level of quality service, consults and assists members and stakeholders in the areas of enrollment, premium payment, invoicing, benefits and claims; services via telephone, email and other communication channels, performs in accordance of the Member Service’s call volume goals and quality measurements and perform all other duties as assigned
LEAD PATIENT INFORMATION COORD. & ASSISTANT TO CLINIC MANAGER
APOGEE PHYSICIANS
08.2018 - 09.2019
- Under the direction of the Non-Clinical Operations, the lead PIC acts as a HR personnel by providing human resources services, recruiting staff, processing employees, updating records, improving employee retention levels, and enforcing safety and health policies
- Also supports several physicians on an administrative level, properly distribute patients between providers, overseeing projects and ensuring milestones are met, create daily rounding lists, spreadsheets, memos, and PowerPoint presentations, meet with each physician daily, data entry and scheduling of patient information for billing, assisting with payroll, training new hires during a period of company expansion, distribute final rounding list to clinicians, floors, and nursing stations, etc., meeting with patients for Insurance follow-up, gather documents from Medical Record to file (H&P, Discharge Summary, CNN, etc.), verify documents faxed to PCP, Liaison between hospitalists, hospital staff, and Apogee Corporate offices, administrative duties such as note taking, meeting set up, document presentation and any other duties assigned by the Program Director
ADMISSIONS SUPPORT REP II
HERZING UNIVERSITY
03.2016 - 08.2018
- Under the direction of the Admissions Support Supervisor, the Admissions Support Center Representative makes calls 6-8 hours a day responding to prospective student inquiries, link prospective students with campuses, document activities, provide the Admissions Support Supervisor with feedback regarding changes and/or suggestions for improvement, and work effectively in a team environment
USHER
MARCUS CENTER FOR THE PERFORMING ARTS
06.2013 - 11.2015
- Under the direction of the head manager, and the general supervision of the event services department staff, the usher serves the tenants and patrons of the Marcus Center for the Performing Arts
CUSTOMER CARE CALL CENTER REPRESENTATIVE
JCPENNEY
05.2013 - 07.2015
- Representatives provide great inbound and outbound customer service through the selling of new and/or additional merchandise and services and assisting our customers with order inquiries, with an ultimate goal of extraordinary customer satisfaction
- Daily activities include providing inbound/outbound telephone support to our customers by accepting and entering orders, selling new products and services and answering customer inquiries
PRINT SERVICES CENTER SALES ASSOC.
OFFICE MAX
06.2014 - 02.2015
- Under the direction of the Print Service Supervisor, The Sales Consultant, Print Services is responsible for providing exceptional service experience for customers requiring print services
- Proactively engage customers to drive the sale of total solutions offered within Print Services and properly assess customer needs to ensure satisfaction in every interaction
- Completing all customer orders correctly and within the quoted timeline, and assessing whether the Regional Print Facility should be utilized
- Performing daily and weekly maintenance of the Print Services area
- Build ongoing customer relationships and become a trusted advisor by utilizing advanced selling skills and knowledge (including cross-selling of products and services) to meet customer's needs
- Demonstrate passion for the brand, products, services and solutions offered to customers
SALES ASSOCIATE
THE WALKING COMPANY
09.2012 - 02.2014
- Under the direction of the Sales Manager, assist in maintaining the store to meet the company’s commissioned and weekly sale’s goals
- Maintains standards of cleanliness and organization
- Deliver customer service ensuring the customer receives a great experience
- Sets up and revises merchandising presentations
- Assists in procedures for receiving stock shipments and transferring merchandise
- Processing incoming and outgoing inventory
- Strive to achieve store goals and any other duties assigned
OFFICE ASSISTANT; SWITCHBOARD ADMINISTRATION
WAUWATOSA EAST HIGH SCHOOL
10.2009 - 01.2011
- Under the direction of the School’s Principal/Special Education teacher, managed all aspects of the switchboard operating system- directing/answering calls, provided excellent service taking questions and concerns; providing personnel’s with needed information, assisted with signing for and sorting mail, data entry, Microsoft spreadsheets, charts and graphs, helping the students with homework and classwork, filing, scanning, made copies of class materials, faxed and/or presented documents as stated, assisted with grading papers, putting students grades in online grade book, minor cleaning duties, supervision of others, and any other duties assigned
Education
Health Sciences and Business Administration and Management Coursework
MARQUETTE UNIVERSITY
Biology (Pre-Med) Coursework
MOUNT MARY COLLEGE
General Studies -
WAUWATOSA EAST HIGH SCHOOL
06.2011
Skills
- Excellent verbal and written communication skills
- Excellent interpersonal skills
- Negotiation skills
- Conflict resolution skills
- Excellent organizational skills
- Attention to detail
- Excellent time management skills
- Strong analytical skills
- Problem-solving skills
- Ability to prioritize tasks
- Ability to delegate tasks
- Integrity
- Professionalism
- Confidentiality
- Knowledge of employment-related laws and regulations
- Proficient with Microsoft Office Suite
- Proficiency with HRIS
- Proficiency with talent management systems
Timeline
HUMAN RESOURCES AND BILLING/ ACCOUNT MANAGER
DOWNTOWN CHIROPRACTIC HEALTH & SPORTS INJURY CLINIC
10.2021 - Current
BILLING CARE CONSULTANT
WE ENERGIES
07.2020 - 01.2021
MEMBER SERVICES REPRESENTATIVE
COMMON GROUND HEALTHCARE COOPERATIVE
11.2019 - 01.2020
LEAD PATIENT INFORMATION COORD. & ASSISTANT TO CLINIC MANAGER
APOGEE PHYSICIANS
08.2018 - 09.2019
ADMISSIONS SUPPORT REP II
HERZING UNIVERSITY
03.2016 - 08.2018
PRINT SERVICES CENTER SALES ASSOC.
OFFICE MAX
06.2014 - 02.2015
USHER
MARCUS CENTER FOR THE PERFORMING ARTS
06.2013 - 11.2015
CUSTOMER CARE CALL CENTER REPRESENTATIVE
JCPENNEY
05.2013 - 07.2015
SALES ASSOCIATE
THE WALKING COMPANY
09.2012 - 02.2014
OFFICE ASSISTANT; SWITCHBOARD ADMINISTRATION
WAUWATOSA EAST HIGH SCHOOL
10.2009 - 01.2011
Health Sciences and Business Administration and Management Coursework
MARQUETTE UNIVERSITY
Biology (Pre-Med) Coursework
MOUNT MARY COLLEGE
General Studies -
WAUWATOSA EAST HIGH SCHOOL