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Tyesha User

@tyeshauser

Experienced healthcare support specialist focused on Medicare, claims resolution, and compliant member services.

United States
Message

What I'm looking for

I seek a member-focused role in a collaborative, compliant healthcare organization where I can apply Medicare and claims expertise, improve processes, and support members and providers.

I am an experienced healthcare and insurance support specialist with over nine years working in regulated environments supporting members, providers, and payers.

Throughout my career I have handled high-volume call center communication, Medicare Advantage inquiries, claims and eligibility investigations, and enrollment changes while maintaining CMS and HIPAA compliance.

I am proficient with CRM and member tracking systems, Microsoft Office (Word, Excel, Outlook), and internal documentation tools; I consistently document outcomes and support cross-departmental coordination to resolve issues promptly.

I am recognized for professionalism, empathy, and a commitment to accurate, timely service delivery and have contributed to training materials and process improvements to strengthen team performance.

Experience

Work history, roles, and key accomplishments

BP

Healthcare Call Center Specialist

Bayview Health Partners

Jan 2022 - Jun 2025 (3 years 5 months)

Responded to Medicare-related member and provider inquiries, researched cases in internal systems, and resolved eligibility, claims, and enrollment issues while maintaining CMS compliance and timely follow-up.

RC

Claims & Eligibility Support Specialist

Riverview Medical Center

Jan 2014 - Dec 2017 (3 years 11 months)

Investigated eligibility discrepancies and service denials, updated patient records in HIPAA-compliant systems, and collaborated with providers and compliance teams to resolve coverage issues.

Education

Degrees, certifications, and relevant coursework

Dawn Career Institute logoDI

Dawn Career Institute

Certificate, Healthcare Administration

Completed the Healthcare Administration program focusing on administrative processes, documentation, and healthcare operations.

Tech stack

Software and tools used professionally

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Tyesha User - Healthcare Call Center Specialist - Bayview Health Partners | Himalayas