Ebony Greene

I’m a healthcare compliance and credentialing professional supporting documentation review, provider eligibility verification, and regulatory adherence in payer-driven environments. I’m familiar with NCQA accreditation standards, CMS requirements, and HIPAA regulations, with a strong focus on documentation accuracy, PHI protection, and audit-ready record integrity.

In my Authorization & Eligibility Coordinator role, I review provider and patient documentation to ensure alignment with CMS, payer, and regulatory standards before authorization approvals. I verify eligibility and licensure requirements, maintain electronic documentation systems in strict alignment with HIPAA privacy and security standards, and coordinate corrective action when documentation is incomplete or non-compliant.

I’ve also strengthened my compliance mindset through reimbursement and billing document validation—reviewing claims and supporting documentation for accuracy and regulatory compliance prior to submission. With a Bachelor of Science in Health Information Management (2024), I bring audit support, workflow prioritization, and cross-functional coordination to help teams resolve discrepancies and maintain accreditation expectations.