Gerard Simon

Coordinated custom and retail orders, managed production timelines, and developed quality control procedures to ensure product consistency.

Implemented workflow automations to accelerate response times and led a lead-recovery initiative to ensure follow-up across the customer lifecycle.

Partnered with regulatory entities and managed care plans to secure licensing, define fee structures, and design billing workflows for a pediatric mental health partial hospitalization program.

Managed administrative functions across two clinic locations, coordinating workflows and supporting a second location remotely while analyzing provider and patient data to improve operations.

Resolved denied and unpaid insurance claims through payer research and follow-up, coordinating claim corrections, appeals, and resubmissions to support timely reimbursement.

Made precise eligibility determinations across Louisiana Medicaid programs in compliance with federal and state regulations and supported implementation of the LaMEDS system.

Provided leadership for daily store operations by directing team workflow, coaching partners, delegating responsibilities, and maintaining operational excellence through inventory and merchandising oversight.

Established and standardized the Eligibility Counselor role by implementing automated workflows in case management software to reduce intake bottlenecks and streamline screening.

Developed comprehensive care plans and coordinated interdisciplinary interventions to prevent nursing facility placements for high-risk participants.

Managed end-to-end revenue cycle operations, including insurance verification, patient registration, charge entry, claims submission, payment posting, and follow-up.

Completed the Google IT Support Professional Certificate through Coursera.

Earned a Bachelor of Science in Psychology with a minor in Social Work at Louisiana State University A&M.