LYNNE BOYCE
VIRGINIA BEACH
Summary
Claims Specialist with over 18 years of experience in claims resolution and customer service, specializing in Medicaid, Medicare, and CPT coding. Demonstrated success in optimizing reimbursement processes through strong analytical capabilities and a deep understanding of industry standards. Proficient in Microsoft Excel and Epic, enhancing departmental efficiency while ensuring compliance. Known for exceptional relationship-building skills and effective communication, leading to improved client satisfaction and increased revenue.
Overview
17
17
years of professional experience
1
1
Certification
Work History
CLAIMS RESOLUTIONS REP 1
TEK Systems
Virginia Beach
02.2023 - Current
- Calculated premiums, refunds, commissions and adjustments using insurance rate standards.
- Investigated claims when necessary before forwarding.
- Analyzed claims to ensure correctness prior to billing submission.
- Coordinated with various departments on modifications to current processes.
- Managed confidential patient information in accordance with HIPAA regulations.
- Trained employees in correct billing methods.
PAYMENT SPECIALIST II
Aston Carter US Oncology Network
Norfolk
05.2022 - 09.2022
- Resolved unapplied cash balances promptly.
- Recorded procedure and diagnosis codes in billing software for invoicing accuracy.
- Tracked financial discrepancies and implemented timely corrections.
- Conducted audits of patient accounts to ensure compliance with federal regulations.
- Reviewed and confirmed accuracy of provider-submitted claims for reimbursement.
TIER I SUPPORT SPECIALIST
Conduent Business Solutions
Virginia Beach
02.2022 - 06.2022
- Resolved technical issues on both Windows and Mac OS platforms.
- Performed diagnostics tests on computers to identify and fix malfunctions.
Teller
Wells Fargo
Virginia Beach
11.2019 - 03.2021
- Transmitted bank data from lockboxes and statements.
- Ensured compliance with payment regulations while managing delinquent accounts.
- Streamlined documentation practices, ensuring greater accuracy and organization.
- Managed daily cash drawer reconciliation, ensuring financial accuracy.
- Resolved customer issues to improve knowledge of banking options.
GUEST RELATIONS ASSOCIATE
Target
Virginia Beach
09.2019 - 01.2020
- Resolved guest complaints in a professional manner
- Provided information about store offerings to customers.
- Maintained smooth transaction processing for various payment methods.
- Ensured timely restocking of store inventory.
- Facilitated customer requests for returns and exchanges adhering to store standards.
TEAM LEAD, ER REGISTRATION
Sentara Healthcare
Virginia Beach
04.2018 - 01.2019
- Offered consistent leadership, achieving timely and high-quality results.
- Guided customers in accurately completing registration forms.
- Executed registration fee collection through diverse transaction channels.
- Evaluated team members' performance, offering constructive feedback.
- Provided comprehensive training to new employees in essential procedures.
- Led regular personalized coaching meetings with employees to enhance personal development.
- Evaluated needs of departments and delegated tasks to optimize overall production.
BENEFITS SPECIALIST
Aerotek
Virginia Beach
11.2017 - 04.2018
- Facilitated understanding of available benefit plans.
- Managed alterations and cancellations of benefits.
- Verified compliance with medical insurance requirements.
- Ensured adherence to federal and state regulations governing employee benefits.
- Provided guidance on claims processing procedures to ensure timely payments.
- Provided assistance to plan participants by explaining benefits information to ensure educated selections.
INBOUND SALES REPRESENTATIVE
Time Warner Cable
Akron
01.2016 - 10.2016
- Identified customer needs and recommended products accordingly
- Provided accurate information regarding product features, pricing and availability
- Assisted customers with placing orders over the phone or online
- Maintained detailed records of all sales transactions in CRM system
- Applied good listening skills to determine customer preferences and financial limits
- Followed up on sales leads through outbound calling
- Cross-sold additional products and services to purchasing customers
TECHNICAL SUPPORT REPRESENTATIVE
Comcast
Centennial
06.2013 - 11.2015
- Provided technical assistance to customers through phone, email and chat support
- Diagnosed system errors and implemented solutions to resolve them
- Maintained detailed records of customer interactions and transactions
- Offered customized solutions tailored to each client's individual needs
- Maintained up-to-date knowledge of all company products including pricing structures and discounts available
- Tracked daily activities using a CRM system for accurate recordkeeping
- Developed new sales opportunities through phone calls, e-mail campaigns, networking and other prospecting methods
BILLING SPECIALIST
Coram Healthcare/Apria
Centennial
11.2007 - 07.2013
- Ensured Medicare billing compliance, verifying documentation accuracy for timely claim submissions
- Managed secondary and tertiary billing, securing prompt payments and efficient denial processing
- Reviewed medical records for billing accuracy, prepared itemized statements, and resolved billing inquiries
- Collected, posted and managed patient account payments.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Checked claims coding for accuracy with ICD-10 standards.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Developed strong professional rapport with vendors and clients.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Reviewed medical records to ensure accuracy of billing information and patient data.
Education
Associate of Science - HEALTHCARE MGT
University of Phoenix
Tempe, AZ03-2026
NAIL TECHNICIAN -
Advance Nail Technology Training Center
Virginia Beach08.2024
MEDICAL INSURANCE BILLING & CODING -
Everest College
01.2007
HIGH SCHOOL DIPLOMA -
Aurora Christian Academy
01.2003
Skills
- Accounts Receivable
- CPT Coding
- Cash Handling
- HIPAA
- Epic
- OnBase
- Medicaid
- Medicare
- Microsoft Excel
- Microsoft Office
- Microsoft Word
- Scheduling
- Technical Support
- Troubleshooting
- Medical Terminology
- Medical Billing
- Customer Service
Certification
- VA Notary
- VA Nail Technician
Languages
English, Native
References
References available upon request.
Timeline
CLAIMS RESOLUTIONS REP 1
TEK Systems
02.2023 - Current
PAYMENT SPECIALIST II
Aston Carter US Oncology Network
05.2022 - 09.2022
TIER I SUPPORT SPECIALIST
Conduent Business Solutions
02.2022 - 06.2022
Teller
Wells Fargo
11.2019 - 03.2021
GUEST RELATIONS ASSOCIATE
Target
09.2019 - 01.2020
TEAM LEAD, ER REGISTRATION
Sentara Healthcare
04.2018 - 01.2019
BENEFITS SPECIALIST
Aerotek
11.2017 - 04.2018
INBOUND SALES REPRESENTATIVE
Time Warner Cable
01.2016 - 10.2016
TECHNICAL SUPPORT REPRESENTATIVE
Comcast
06.2013 - 11.2015
BILLING SPECIALIST
Coram Healthcare/Apria
11.2007 - 07.2013
Associate of Science - HEALTHCARE MGT
University of Phoenix
NAIL TECHNICIAN -
Advance Nail Technology Training Center
MEDICAL INSURANCE BILLING & CODING -
Everest College
HIGH SCHOOL DIPLOMA -
Aurora Christian Academy
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