Lynda McMillian
Severn,MD
Summary
Dedicated professional with extensive experience in customer service and billing configuration. Skilled in problem-solving and effective communication, with a proven track record of improving operational efficiency and resolving discrepancies. Ready to contribute expertise in a part-time cashier role.
Overview
22
22
years of professional experience
Work History
Billing Specialist
MBI HEALTH SERVICES, LLC
Washington, DC
03.2015 - Current
- Report to the finance department and accounting/billing office
- Configured locations and geographic areas for place of service code and service facility reporting.
- Configured recipient types to match criteria for the billing matrix in medical billing.
- Configured provider and billing groups to support agency operations.
- Maintained NPI, taxonomy, address, and contact information for billing purposes.
- Configuration and testing of payers to send unsuccessful electronic and paper claims via 837P, 837I or CMS1500
- Configured the billing matrix to match service types to rates and CPT codes based on partner billing processes.
- Develop and maintain a positive relationship with partners, and fellow implementation team members
- Document, track and provide support and troubleshooting assistance to resolve any billing-related issues that arise during implementation
- Presented billing process workflows to the training team.
- Coordinated with insurance companies to resolve billing discrepancies and ensure accurate claims processing.
- Trained new staff on billing procedures and software tools.
- Analyzed billing data to identify trends and enhance process efficiency.
- Collaborated with clinical staff to ensure accurate charge capture for services provided.
- Worked with team members to identify and develop process improvements.
- Investigated incorrect billings and processed refunds as necessary.
- Maintained accurate records of collections, adjustments and denials in the system.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Developed and implemented new policies for billing processes as needed.
DDS Assistant Specialist
MBI HEALTH SERVICE, LLC
Washington, DC
10.2016 - 06.2018
- Coordinated disbursements and receipts of DDS funds, supporting successful implementation of projects, events, and services for DDS faculty and staff.
- Direct DSP staff to sources of additional information and educate them on the needs of consumers with disabilities with rigorous interpretation and explanation of the established DDS policies and procedures
- Facilitated communication between DDS Director and team members, enhancing collaboration and alignment on key initiatives.
- Provided administrative and confidential clerical support for the office of DDS.
- Duties include but are not limited to, responding to DDS-related inquiries via phone and email
- Maintaining electronic record keeping systems and materials
- Organized and prioritized workload to meet deadlines and enhance productivity.
- Maintained confidentiality of sensitive consumer records, ensuring privacy and compliance with established regulations.
Community Support Worker
MBI HEALTH SERVICES, LLC
Washington, DC
02.2014 - 12.2015
- Aids consumers in their own homes/program and in the community to allow them to function more safely and independently
- Facilitates physical, recreational, social and educational activities
- Provides consumers with a positive role model
- Mapped social, economic, recreational, and educational services in the community to effectively address consumers' needs and enhance their support network
- Maintains liaison with other agencies, professionals, government officials and the community
- Identified and analyzed potential crisis situations, developed intervention strategies, and communicated findings to Keyworker, Supervisor, and Manager to ensure timely resolution
- Recognizes potential emergency situations, analyzes situations accurately, and develops strategies to deal with such situations i.e., dispensing medication, dealing with consumers' aggressive behavior to ensure no harm comes to the consumer, staff and the public
- Assists case management team in identifying potential problems
- Provides input to counselors and other professionals regarding the development of consumer Treatment
- Monitors consumers' well-being
- Assisted consumers in developing daily life skills and behavior management techniques to promote greater independence and well-being
- Produce a minimum of 35 billable hours per week
- Attend staff meetings, supervisory conferences, and other activities, which ensure the smooth functioning of clinical operations
Membership Relation Coordinator/Administrative Assistant
MAGNET SCHOOLS OF AMERICA
Washington, DC
06.2008 - 05.2013
- Updated membership database and developed monthly membership reports for executive board committee
- Generated member prospect leads through a variety of sources including the Internet, periodicals and direct leads
- Developed and organized member prospect spreadsheets completed with key contacts and background information
- Compiled membership packets and collaborated with executive director to create membership recruitment and retention materials, including membership directory.
- Assisted Executive Director in developing new member programs and events to attract new members and enhance engagement and retention of existing members.
- Assisted with member events including registration set-up and support for magnet schools of America member events
- Tracked and maintained member participation and engagement statistics by creating reports and spreadsheets that highlight member involvement in magnet schools of America.
- Assisted Executive Director in coordination of all Membership Committee meetings
- Delivered exceptional customer service to magnet schools of America members by addressing inquiries and providing assistance.
Loss Prevention Receptionist
IKEA
College Park, MD
12.2003 - 06.2008
- Monitored and maintained intrusion, fire, gas, and customer panic alarms to ensure safety within the facility
- Implemented and coordinated emergency response procedures
- Enforced Ikea's access control policy for co-workers and visitors to enhance security
- Monitored the Loss Prevention filing system and Loss Prevention Reporting System
- Delivered morning announcements and updates regarding lost individuals over the P.A. system.
- Contributed to an environment where the IKEA culture is a strong and living reality that embraces the diversity of co-workers and customers
- Maintained the IKEA store schedules for all managers and co-workers
- Maintained the logbooks of equipment and scheduling of usage of equipment
- Supported human resources by processing job applications
Education
High School Diploma - General Knowledge
PENN FOSTER
04-2025
Word Processing/Data EntryCertificate -
JEFFERSON BUSINESS COLLEGE
Washington, DC08-1989
Skills
- Medical billing
- Insurance verification
- Claims processing
- CPT code mapping
- Billing matrix configuration
- Billing best practices
- Records & database management
- General bookkeeping
- Financial reporting
- Report generation
- Compliance adherence
- HIPAA compliance
- Denial management
- Insurance confirmation
- Customer relationship management
- Customer engagement
- Critical analysis
- Process improvement
- Data research
- Document management
- Scheduling & calendar sharing
- Multitasking and organization
- Team collaboration
- Staff onboarding
- Problem solving
- Attention to detail
- Decision-making
- Conflict resolution
- Dispute resolution
- Effective communication
- Communication skills
- Multitasking and organization
- Billing best practices
References
Upon request
Timeline
DDS Assistant Specialist
MBI HEALTH SERVICE, LLC
10.2016 - 06.2018
Billing Specialist
MBI HEALTH SERVICES, LLC
03.2015 - Current
Community Support Worker
MBI HEALTH SERVICES, LLC
02.2014 - 12.2015
Membership Relation Coordinator/Administrative Assistant
MAGNET SCHOOLS OF AMERICA
06.2008 - 05.2013
Loss Prevention Receptionist
IKEA
12.2003 - 06.2008
High School Diploma - General Knowledge
PENN FOSTER
Word Processing/Data EntryCertificate -
JEFFERSON BUSINESS COLLEGE