Lynde McCoy
Rocky Mount,VA
Summary
Professional with in-depth experience in health insurance operations and provider enrollment. Skilled in navigating complex regulatory requirements, ensuring compliance, and streamlining processes for efficiency. Strong focus on team collaboration and achieving results, adaptable to changing needs.
Overview
12
12
years of professional experience
Work History
CUSTOMER REPRESENTATIVE
CORNERSTONE BUILDING BRANDS
Rocky Mount, VA
10.2025 - 06.2026
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Streamlined order processing to enhance efficiency and improve customer satisfaction levels.
- Collaborated with cross-functional teams to address customer concerns and implement solutions.
- Managed high call volume with exceptional professionalism and efficiency.
- Delivered comprehensive product support, assisting customers with troubleshooting and usage guidance.
PROVIDER ENROLLMENT SPECIALIST II
CARILION CLINIC
Roanoke VA
05.2024 - 05.2025
- Manages enrollment of various payors, prioritizing tasks to meet strict deadlines consistently.
- Participated in inter-departmental meetings to align enrollment strategies with billing practices, enhancing collaborative efforts.
- Coordinated provider enrollment processes to ensure compliance with regulatory standards.
- Streamlined documentation review procedures, enhancing accuracy and reducing processing times.
- Collaborated with cross-functional teams for timely resolution of enrollment issues, improving overall customer satisfaction.
RESOLUTION SPECIALIST - CUSTOMER CARE REP
ANTHEM BLUE CROSS BLUE SHIELD
Roanoke, VA
08.2014 - 11.2022
- Provided second level support by guiding and training team members on handling member inquiries and taking over calls as needed
- Assesses and identifies customer's needs quickly and provides accurate and timely resolution to members
- Assisted members with understanding their benefits, billing questions, and taking payments. Initiated grievances and appeals while explaining details of claims processing in accordance with member benefits.
- Advocated for members by managing communications with prior authorization departments to ensure they received necessary medical care.
Education
BACHELOR OF BUSINESS ADMINISTRATION - Business Administration
AVERETT UNIVERSITY
Danville, VA12-2014
Skills
- Problem solving
- Customer complaint resolution
- Project management
- Customer relationship management
- Multitasking and organization
- Decision-making
- Adaptability and flexibility
Timeline
CUSTOMER REPRESENTATIVE
CORNERSTONE BUILDING BRANDS
10.2025 - 06.2026
PROVIDER ENROLLMENT SPECIALIST II
CARILION CLINIC
05.2024 - 05.2025
RESOLUTION SPECIALIST - CUSTOMER CARE REP
ANTHEM BLUE CROSS BLUE SHIELD
08.2014 - 11.2022
BACHELOR OF BUSINESS ADMINISTRATION - Business Administration
AVERETT UNIVERSITY