Lisa Randolph
Appeals & Grievances Specialist at Molina Healthcare | Miami, Florida, United States
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Lisa Randolph is a dedicated Appeals & Grievances Specialist at Molina Healthcare, where she plays a pivotal role in ensuring member satisfaction and compliance with regulatory standards. In her current position, Lisa is responsible for meticulously reviewing and resolving complaints from both members and providers, ensuring that each case is handled with the utmost professionalism and care. Her expertise lies in navigating the complex landscape of healthcare regulations, particularly those set forth by the Centers for Medicare and Medicaid Services (CMS).
One of Lisa's key projects involves streamlining the appeals process to enhance efficiency and improve turnaround times for resolutions. By leveraging her strong analytical skills, she researches claims processing guidelines, provider contracts, and fee schedules to identify root causes of grievances. This not only aids in resolving individual cases but also contributes to broader quality improvement initiatives within the organization. Her bilingual capabilities further enhance her ability to communicate effectively with a diverse member population, ensuring that language barriers do not impede access to care.
In addition to her technical skills in data entry and medical terminology, Lisa excels in customer service, providing compassionate support to members navigating the complexities of the healthcare system. Her proficiency in Microsoft Word and other software tools allows her to document cases accurately and maintain confidentiality, a critical aspect of her role. As she seeks greater opportunities for professional growth, Lisa remains committed to advocating for members' rights and enhancing the overall healthcare experience at Molina Healthcare.
Appeals & Grievances Specialist at Molina Healthcare in November 2022 to Present
Claims Specialist at Molina Healthcare in October 2015 to November 2022
Clorox Healthcare Agent at Inktel Contact Center Solutions in February 2014 to October 2015
Administrative Assistant at Victoria & Associates Career Services in February 2012 to February 2014
Administrative Assistant/Credentialing at Ross University School of Medicine in April 2013 to January 2014
Nurse Aide/Assistant at Tallahassee Memorial Hospital in January 2010 to May 2011
Laboratory Research Assistant at Florida A&M University in April 2010 to August 2010
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Florida A&M University, Bachelor of Science, November 2026
Miami Northwestern Sr High School, November 2026
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Insurance
Healthcare
Analytical Skills
Typing
Microsoft Office
Bilingual
Laboratory
Microsoft Excel
Medical Records
PowerPoint
Research
Chromatography
Titration
Outlook
Microsoft Word
Event Planning
Customer Service
Data Entry
RightNow
Office Administration
Medical Terminology
Medical Education
Molecular Biology
Receptions
Credentialing
Professional Licensure
Confidentiality
Laboratory Skills
Administrative Assistants
Microsoft Outlook
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Discover more about Molina HealthcareWhat is Lisa Randolph email address?
Email Lisa Randolph at [email protected], [email protected] and [email protected]. This email is the most updated Lisa Randolph's email found in 2026.
What is Lisa Randolph phone number?
Lisa Randolph phone number is 7867046366.
How to contact Lisa Randolph?
To contact Lisa Randolph send an email to [email protected], [email protected] or [email protected]. If you want to call Lisa Randolph try calling on 7867046366. (updated on January 03, 2025)
What company does Lisa Randolph work for?
Lisa Randolph works for Molina Healthcare
What is Lisa Randolph's role at Molina Healthcare?
Lisa Randolph is Appeals & Grievances Specialist
What industry does Lisa Randolph work in?
Lisa Randolph works in the Hospital & Health Care industry.
Lisa Randolph Email Addresses
Lisa Randolph Phone Numbers
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