Gredonna Herndon

Analyzed necessary documentation including medical records and clinical coding applications to evaluate accurate coding and reports, and relevant data to the Centers for Medicare and Medicaid Services (CMS). Developed and maintained professional working relationships with Medical Providers and their staff to facilitate on-site review and medical records.

Analyzed and constructed taxpayer accounts to ensure compliance with relevant tax regulations. Provided customer support through inbound and outbound calls, offering solutions for past due balances and facilitating access to pertinent information and services.

Managed a high volume of inbound and outbound communications, including calls and faxes, while accurately documenting interactions in CRM systems such as Salesforce and Cisco. Assessed patient eligibility for various healthcare services, ensuring compliance with healthcare regulations and confidentiality.

Managed a comprehensive range of reimbursement services, including benefits determination, prior authorizations, and appeals support for various insurance types. Provided education to patients, healthcare professionals, and authorized caregivers on therapy coverage options and facilitated the coordination and transfer of prescriptions to specialty pharmacies.

Utilized conflict resolution training and interpersonal skills to effectively address and resolve customer inquiries and issues. Processed and input scanned data and documents into the state tracking system to maintain accurate customer account information.

Obtained a General Education Development (GED) credential. This foundational education provided a broad understanding across various subjects, preparing for further academic and professional pursuits.

Completed a program in Cosmetology, gaining expertise in hair, skin, and nail care. Developed practical skills and theoretical knowledge essential for a career in the beauty industry.

Studied Cosmetology, focusing on advanced techniques and client services in hair and beauty. Acquired comprehensive skills in salon operations and client management.

Activities and societies: DECA

Participated in DECA (Distributive Education Clubs of America), focusing on business and marketing principles. Developed leadership skills and competitive event experience in various business categories.

Completed studies in Business Management, covering fundamental concepts of business operations and administration. Gained insights into organizational structures and management practices.

Earned a Human Service Certificate, providing foundational knowledge and skills for assisting individuals and communities. Focused on support services and client advocacy within human service fields.