Randa Street
Concord, NC *****
Qualifications
AR resolution including Medicaid/Medicare, HMO/PPO, Blue Shield/Blue Cross insurance plans - 6 years
Customer Service - 6 years
Self Starter and Multitask abilities
Supervisory Training and experience
Relevant Experience
2007 - 2008 Ecare Customer Service Rep Connextions
Utilized web-based tools to answer customer questions regarding services offered, billing and worked to resolve complaints.
2001 - 2007 Account Analyst Health Administrative Partners
Process outstanding A/R for Medicare/Medicaid, PPO/HMO, Commercial and Blue Shield and Blue Cross claims. Correct errors in registration and coding (ICD-9 and HCPCS). Resolve Medical Necessity issues. Locate and resolve Practice wide concerns which may hinder payment of provider services. Completed provider applications and updates for credentialing with Medicare/Medicaid, PPO/HMO, Blue Cross/ Blue Shield and Commercial carriers. Utilized IDX billing system.
Completed LMA Supervisory Training Program. Specialties: Radiology, Radiation Oncology
1997 - 1999 Traffic/Production Manager Lally McFarland & Pantello/PeerMed
Oversight of daily progress of project work flow (up to 140).
Internal and external point of contact for Medical Conference meeting materials ( proofreaders, printers, artists [markups}, etc.
1995 - 1996 Support Service Coordinator Promesa, Inc
Assisted in establishing structures for the department handling Communication and Purchasing for Rehabilitation Facility (Inpatient and support services buildings [7])
Internal and external point of contact for contract bids, equipment maintenance, transportation, meal and mail delivery
Minor equipment repair.
1994 - 1995 Program Secretary/Community Follow-up Worker Salvation Army/Bronx Center for Families
Prepared monthly Medicaid billing. External point of contact for vendors, with minor equipment repair
Oversight of inventory, Petty cash and Food voucher distribution.
1991 - 1994 Document Analyst Ernst & Young
Quality Evaluation of work from newly trained employees (up to 18). Distributed case materials and generated progress reports
Summarized and emphasized important phrases in Trial transcripts and Depositions.
1984 - 1990 Customer Service Representative Chemical Bank (acquired by Chase Manhattan)
Analyzed and/or resolved Consumer account inquiries
Other Experience
LMA Supervisory Training (Health Administrative Partners)
Microsoft Access/Word/Excel/PowerPoint; Adobe
Sales Training (Chemical Bank)
Apple Macintosh
Education
1981 High School Diploma