Tyannah Brown
2405 Woodlands Road,MD
Summary
Dedicated and detail-oriented healthcare professional with over 5 years of experience in medical billing, Medicare claims, accounts receivable, and payment posting. Proven track record of accurately processing high-volume insurance claims, resolving denials, and ensuring timely reimbursement through precise AR reconciliation and EOB analysis. Skilled in supporting revenue cycle operations, performing administrative tasks, and collaborating across departments to streamline workflows and improve cash flow. Proficient in EMR/EHR systems, payer portals, and Microsoft Office, with a strong commitment to compliance, data accuracy, and patient confidentiality.
Overview
7
7
years of professional experience
Work History
Accounts Receivable and Billing Clerk
CommuniCare Health Services
Baltimore, MD
01.2024 - Current
- Manage full-cycle Accounts Receivable processes for Medicare A & B and co-insurance claims.
- Process high-volume medical claims accurately and ensure timely submissions to Medicare and secondary payers.
- Reconcile patient accounts and aging reports to identify overdue balances, billing issues, and discrepancies.
- Post all incoming payments from lockbox and mailroom; apply appropriate adjustments based on EOBs.
- Research and resolve claim denials and rejections by investigating payer feedback and resubmitting corrected claims.
- Complete daily batch processing, journal entries, and upload cash receipts to internal systems.
- Paper-bill any claims not automatically crossed over to co-insurance, ensuring complete payment collection.
- Generate monthly AR reports, close facility accounts, and perform write-offs for aged or uncollectible balances.
- Track and report monthly cash shortages, identifying and correcting missed payments or underpayments.
- Access payer portals to retrieve EOBs and upload documentation into PCC for recordkeeping and audits.
- Maintain compliance with HIPAA regulations and Medicare billing guidelines.
- Generate and close month-end facility reports, including write-offs and cash shortage summaries.
- Retrieve and upload EOBs from provider portals (e.g., Medicare, UHC, BCBS) to PCC system.
Ensure accurate financial record keeping for audits, month-end close, and compliance reporting.
Senior Claims Analyst
Tuerk House
Baltimore, MD
09.2022 - 01.2024
- Review and process complex or escalated medical claims for accuracy, completeness, and compliance with payer guidelines.
- Analyze claims data to identify inconsistencies, errors, or unusual billing patterns.
- Ensure all claims meet regulatory, payer, and contract requirements.
- Investigate denied or underpaid claims and initiate appeals with supporting documentation.
- Communicate with insurance companies to resolve claim disputes and discrepancies.
- Follow up on aging accounts and appeal deadlines to ensure timely resolution.
- Maintain detailed and accurate records of claim reviews, appeals, and payer communications.
- Stay current with changes in coding (ICD-10, CPT), billing rules, and payer requirements.
- Work within EHR/EMR systems (e.g., EPIC, PCC), payer portals, and claims clearinghouse.
Revenue Cycle Specialist
Gilchrist Hospice
Hunt Valley, MD
08.2021 - 09.2022
- Post insurance and patient payments via lockbox or manual entry.
- Apply adjustments based on EOBs and ensure accurate account reconciliation.
- Work with billing, coding, HIM, and clinical teams to resolve account or documentation issues.Reconcile posted payments with bank deposits and batch totals.
Balance and verify end-of-day cash posting reports.
Assist in month-end closing procedures and financial reporting. - Communicate with insurance companies, patients, and internal billing team to clarify payment-related issues.
- Investigate unapplied or misapplied payments and resolve issues promptly.
Business Operations Assistant
Medstar Medical Group
Baltimore, MD
01.2019 - 07.2021
- Coordinate with external payers or vendors for billing/payment issues
- Support onboarding of new staff with operational materials and access
- Participate in compliance or audit prep for patient financial records.
- Coordinate scheduling for providers, patients, or internal teams
- Manage correspondence, phones, and front desk duties in clinical settings
- Maintain organized filing systems for patient records, billing documents, and operational reports
- Prepare reports, meeting notes, and internal memos for management or clinical teams
Education
Bachelor of Arts - Health Administration
Stevenson University
Stevenson, MDHigh School Diploma -
Patterson Mill Highschool
Abingdon, MD05.2019
Skills
- Payer Portals (UHC, Aetna, BCBS, etc)
- Medicare A/B Billing & EOB Analysis
- Payment Posting & AR Reconciliation
- Denials Management & Appeals
- EMR/EHR Systems (PCC, Epic)
- Claims Submission & Insurance Follow-Up
- Microsoft Excel & Billing Software
- Month-End Close Procedures
- HIPAA Compliance & Patient Data Accuracy
- Administrative Support & Scheduling
- Strong Communication & Organizational Skills
Timeline
Accounts Receivable and Billing Clerk
CommuniCare Health Services
01.2024 - Current
Senior Claims Analyst
Tuerk House
09.2022 - 01.2024
Revenue Cycle Specialist
Gilchrist Hospice
08.2021 - 09.2022
Business Operations Assistant
Medstar Medical Group
01.2019 - 07.2021
Bachelor of Arts - Health Administration
Stevenson University
High School Diploma -
Patterson Mill Highschool