Open to opportunities

Tyeshia Beans

@tyeshiabeans

Message

I resolve healthcare operations issues through claims research, reporting, and provider support.

United States

Message

What I'm looking for

I'm looking for a healthcare operations or business analysis role where I can use claims research, reporting, provider support, compliance knowledge, and process improvement to help teams resolve complex issues and improve outcomes.

I've supported healthcare operations at Centene Corporation and UnitedHealth Group, resolving escalations, researching claims, and helping providers navigate credentialing, prior authorization, and appeals.

At Centene, I manage leadership escalations, interpret Medicare contracts, and support provider credentialing, configuration, and loading with clear communication and operational attention to detail.

At UnitedHealth Group, I served as an SME and team lead across two teams, tracked adherence and performance trends, coached colleagues, and communicated findings to upper management. I also processed and audited complex claims for billing accuracy, coding compatibility, and guideline compliance.

Earlier, I trained and coached call-center teams at GC Services, monitored quality and metrics, and managed escalated account issues. I'm recognized for dependable execution in high-volume, regulated environments, including Service Hero and SME recognition in 2018.

Experience

Work history, roles, and key accomplishments

Business Analyst I

Centene Corporation

Jan 2020 - Sep 2026 (6 years 8 months)

Managed escalated assignments from leadership with timely follow-through and clear communication. Supported performance goals through consistent productivity, accuracy, and dependable execution of business functions.

Business Analysis Trend Reporting Provider Support Escalation Management Claims Research Medicare Administrative Contractors Provider Credentialing Provider Configuration

Credentialing / Prior Authorization

UnitedHealth Group

Mar 2015 - Dec 2019 (4 years 9 months)

Performed prior authorization and credentialing with professional provider communication, expediting high-priority issues. Researched complex claims to support first-call resolution and served as SME and team lead.

Prior Authorizations Credentialing Claims Research Provider communication SME Coaching Quality monitoring Appeals Schedule Adherence Reporting

Unit Manager/Management Trainer

GC Services

Apr 2010 - Feb 2015 (4 years 10 months)

Oversaw new hire agents and delivered multi-week training programs. Audited training calls, coached agents, and tracked performance trends to support management decisions.

Call Auditing Performance Metrics Reporting Compliance Escalation Resolution Training Coaching

Sales Consultant/Retention Specialist

AT&T

Mar 2009 - Jul 2009 (4 months)

Handled high-volume inbound calls, resolved customer inquiries, and maintained a retention quota.

Customer Service Sales Retention Inbound Calls problem resolution

Claims and Customer Service Representative

UMR

Processed, researched, and audited complex claims to validate billing accuracy and guideline compliance. Communicated with providers to explain claim denials, policy requirements, and appeal status.

Claims Processing Claims Research Audit Billing Accuracy Provider communication Appeals Customer Service