# Tyiesha Jordan

Tyiesha Jordan is a remote worker on Himalayas, Assistance Program Specialist at Palmetto Infusion, based in United States.

Source: https://himalayas.app/@tyieshajordan

```text
I resolve healthcare claims denials and recover reimbursement across complex revenue cycle accounts.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 51k+ USD |
| Job categories | Medical Biller, Accounts Receivable Specialist, Claims Specialist, Denial Management Specialist, Revenue Cycle Specialist |
| Skills | Accounts Receivable Follow up, Denial Management, Appeals, Medical Billing, Claims Processing, Insurance Verification, Eligibility Verification, Revenue Cycle Management, Medicare, Medicaid, Payer Relations, Payment Posting, Reconciliations, Claims Investigation, Claim Resolution, Documentation, Compliance, EMR Systems, EHR Systems, HIPAA compliance, Data Entry, Reporting, ICD 10 Coding, CPT Coding, Customer Service, Insurance Follow Up, Account Adjustments, Cash Reconciliation, Claims Adjudication, Reimbursement Analysis, Denial Correction And Reprocessing |

## About

```text
At Palmetto Infusion, I support accurate claim submission, payment processing, reimbursement, and month-end reconciliation while resolving denials, payment discrepancies, and unapplied cash.

Previously, I processed commercial, Medicare, and Medicaid claims at Alabama Pain Physicians, prepared appeals, verified eligibility, assigned ICD-10 codes, and analyzed accounts receivable reports for resolution opportunities.

My experience also includes claims adjudication at Blue Cross and Blue Shield of Alabama and hospital denial resolution at Guidehouse Healthcare. I investigate underpayments, calculate expected reimbursement, correct denial codes, and document root-cause resolutions.

I've worked directly with providers, members, payers, and patients in high-volume environments, including handling 60–100 inbound calls daily. I bring more than seven years of medical billing, claims processing, insurance follow-up, and customer service experience.
```

## Experience

### Assistance Program Specialist (current)

Palmetto Infusion. Mar 2025 - Present

```text
Collaborate with multiple departments to gather, verify, and process information for accurate claim submission and payment processing. Investigate and resolve claim denials, payment discrepancies, and account issues impacting revenue cycle performance.
```

Skills: Medical-Billing, Claims-Processing, Denial-Management, Payment-Posting, Reconciliations, Revenue-Cycle-Management, HIPAA-compliance

### Senior Medical Biller

Alabama Pain Physicians. Dec 2023 - Jan 2025

```text
Processed and submitted claims to commercial, Medicare, and Medicaid payers while ensuring compliance with billing regulations. Investigated claim denials and prepared appeals with supporting documentation to secure reimbursement.
```

Skills: Medical-Billing, Claims-Processing, Denial-Management, Appeals, ICD-10-Coding, Insurance-Verification, Accounts-Receivable

### Claims Specialist

Blue Cross and Blue Shield of Alabama. Jan 2023 - Jul 2023

```text
Reviewed insurance claims and supporting documentation to ensure completeness and compliance with policy requirements. Investigated claim issues and obtained additional information necessary for claim adjudication and payment determination.
```

Skills: Claims-Processing, Claim-Adjudication, Payer-Guidelines, Communication-Skills

### Denial Specialist

Guidehouse Healthcare. Oct 2021 - Jan 2023

```text
Managed denial resolution activities for hospital accounts receivable portfolios, ensuring timely follow-up and reimbursement recovery. Researched and resolved billing, payment, and claim issues through collaboration with payers and healthcare providers.
```

Skills: Denial-Management, Appeals, Accounts-Receivable, Reimbursement, Root-Cause-Analysis

### Customer Service Associate

Blue Cross Blue Shield of Alabama. Apr 2019 - Oct 2021

```text
Handled 60–100 inbound calls daily from members and providers regarding claims, benefits, and coverage questions. Reviewed claims and explained processing outcomes while assisting with claim reconsiderations and reprocessing requests.
```

Skills: Customer-Service, Claims-Processing, Medical-Policies, Communication-Skills

### Customer Service Representative

DST Health Solutions. Oct 2017 - Mar 2019

```text
Responded to customer inquiries regarding healthcare accounts and services. Updated account information and maintained accurate customer records.
```

Skills: Customer-Service, Data-Entry, Record-keeping

## Education

### Northeast Texas Community College

Associate of Applied Science, Applied Science. 2026 - Present

```text
Pursuing an Associate of Applied Science degree, with an expected completion in 2026.
```

### Woodlawn High School

High School Diploma, General Studies

```text
Completed high school education in May 2011.
```

## Tech stack

- HTML5
- Java

To contact Tyiesha, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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