LYNICE J. MILLS
2906 Magnolia Street, Portsmouth,VA.
Summary
Self-motivated, detail-focused, efficient, and competent professional Medical Biller.
Proven work ethic and organizational skills.
Knowledgeable, and personable with excellent problem-solving skills and strengths in areas of Collections.
Overview
2025
2025
years of professional experience
Work History
Accounts Receivable Specialist
Jordan-Young Institute
05.2021 - 12.2024
- Managed and updated financial accounts for more than 500 current patients
- Reviewed patient records, identified medical codes for accuracy, and created invoices for billing
- Assessed data and information to verify entries, corrected failed and rejected claims primary and secondary for resubmission
- Communicated with insurance providers to resolve denied claims and appeals
- Managed and responded to correspondence and inquiries from customers and vendors.
A/R Collection Specialist
Hampton-Newport News Community Services Board
08.2016 - 08.2019
- Initiates and coordinates the collection of Medicaid, Medicare, and commercial third-party payers
- Maintained and updated collections tracking spreadsheet to help organize payment information
- Post daily insurance EOB Payments and Adjustments
- Verified patient eligibility and claim status with insurance agencies
HEDIS Service Associate II / Commercial Research
Populus Group / Contracted Anthem Blue Cross/Blue Shield
01.2016 - 05.2016
- Offer research support to retrieve and review Medical Record Measures
- Review all documentation for accuracy, quality, and compliance
- Responded to materials requests and retrieved necessary information
- Reviewed charts and flagged incomplete or inaccurate information
A/R Collection Specialist
Accounting Principals / Contracted Hampton-Newport News CSB
09.2015 - 01.2016
- Initiates and coordinates the collection of Medicaid, Medicare, and commercial third-party payers
- Verified patient eligibility and claim status with insurance agencies
- Responded to customer inquiries and provided detailed account information.
Risk Management Specialist
Artech Information System / Contracted Cox Communications
06.2015 - 08.2015
- Precisely completed appropriate claims paperwork, documentation, and system entry.
- Communicated effectively with owners, residents, and on-site associates
- Investigated and resolved customer inquiries and complaints in a timely and empathetic manner
- Assisted with minimizing risk exposure by reviewing claim validity against coverage standards
HEDIS Service Associate II
Maxim Healthcare Staffing / Contracted Anthem Blue Cross
01.2015 - 05.2015
- Provided administrative and telephonic support for the department working on a data collection project, a fast-paced environment to meet deadlines within the project, and medical record retrieval for clients Mental Health Measures
Account Patient Representative
Robert Half Staffing / Contracted Cardiovascular Associates, LTD
10.2014 - 12.2014
- Utilized computer programs to create invoices, letters, and other documents
- Transmittal of electronic/paper claims on Medicare Professional (CMS-1500) claim forms
- Financial processing (payments via telephone) through Allscripts System
Behavioral Health Medical Biller
Robert Half Staffing / Contracted First Home Care Corporation UHS
5 2014 - 8 2014
- Verified and transmitted Medicare Professional (CMS-1500) claim forms
- Pre-certification, authorizations, and adjudication before claim submission
- Checked eligibility through the Virginia DMAS Medicaid Portal for behavioral health services
- Communicated with insurance providers to resolve denied claims and resubmitted
Premium Billing Associate
Robert Half Staffing / Contracted Optima Health
03.2014 - 05.2014
- Provided superior customer service for current and new enrollment plan members
- Verified and processed premium payments and eligibility status via telephone
- Handle high volume of inbound calls addressing and resolving issues
Medicare Part B Follow-Up
Robert Half Staffing / Contracted Bon Secours Virginia Health Systems
08.2013 - 02.2014
- Transmittal electronic/paper claims on Medicare Professional (UB-04) (CMS-1500) claim forms, including Part A and Part B
- Inpatient and outpatient services, procedures, diagnosis, modifiers, and conditions
- Resolved coding-related claim issues before billing, including working via daily drop work queues of 50-80 claims per day
- Audit denials on EOB and investigate including resubmission of claims and prepare appeals or grievances as necessary
Third-Party Billing Officer
NeighborCare Pharmacies, Inc.
10.1988 - 03.2013
- Performed third-party billing in conjunction with Medicare Part D and Medicaid for prescription drugs, DME suppliers, and IV medications
- Accounts Receivable, Accounts Payable, Daily census input
- Monthly private pay billing, Commercial insurance billing, Monthly facilities billing
- Researched and resolved billing discrepancies to enable accurate billing
Education
Computer Technology -
Computer Communications Institute
Upper Darby, PA. 19082Skills
- Behavioral health billing and collections
- Written and verbal communication
- Excellent Customer Service
- Able to handle sensitive and confidential information
- Ability to work Independently
- Familiar with commercial and private insurance carriers
- Understands insurance benefits
- Insurance and collections procedures
- Accounts Receivable Experience
- Experience in Government Business (Medicare/Medicaid)
- Knowledge of Government Regulations (including HIPAA, OSHA, and NCQA)
- Composed and professional demeanor
Computer Data Systems
Data Systems: Citrix XenApp / Medik / Magellan / Connect Care / Xactimed / Verisk Health / Allscripts / Allscripts Payerpath / Epic / ICOMS / EMR Data Systems / Availity / Profiler-15 / Trizetto Provider Solutions / Facets / Macess Service Module / Wintegrate
IT Skills
Microsoft Office Applications: Excel / Outlook / Word / SharePoint
Internet and Basic Computer Applications
Data Entry Skills
10 Key Numeric / 9000 + Keystrokes P/H
Timeline
Accounts Receivable Specialist
Jordan-Young Institute
05.2021 - 12.2024
A/R Collection Specialist
Hampton-Newport News Community Services Board
08.2016 - 08.2019
HEDIS Service Associate II / Commercial Research
Populus Group / Contracted Anthem Blue Cross/Blue Shield
01.2016 - 05.2016
A/R Collection Specialist
Accounting Principals / Contracted Hampton-Newport News CSB
09.2015 - 01.2016
Risk Management Specialist
Artech Information System / Contracted Cox Communications
06.2015 - 08.2015
HEDIS Service Associate II
Maxim Healthcare Staffing / Contracted Anthem Blue Cross
01.2015 - 05.2015
Account Patient Representative
Robert Half Staffing / Contracted Cardiovascular Associates, LTD
10.2014 - 12.2014
Premium Billing Associate
Robert Half Staffing / Contracted Optima Health
03.2014 - 05.2014
Medicare Part B Follow-Up
Robert Half Staffing / Contracted Bon Secours Virginia Health Systems
08.2013 - 02.2014
Third-Party Billing Officer
NeighborCare Pharmacies, Inc.
10.1988 - 03.2013
Behavioral Health Medical Biller
Robert Half Staffing / Contracted First Home Care Corporation UHS
5 2014 - 8 2014
Computer Technology -
Computer Communications Institute
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