Inger Garnett Email & Phone Number

Douglasville, Ga, Us

Atlanta, Ga, Us

Atlanta, Ga, Us

South Jordan, Ut, Us

Manage the pre-payment process for health care insurance clients including the overall leadership of the end-to-end process for Implementations, Policy Analysis, Configuration, Auditing, Testing and UAT in a centralized environment. Provide efficient processes, people and enabling technology to meet short and long-term goals including a 99.97% or above accuracy rate for monthly software releases. Serve over 40 Medicaid, Medicare and commercial health insurance clients through the delivery and execution of a monthly release cycle, resulting in the retention of these clients and the addition of other lines of business. Coach, development and build high performing talent and teams including 9 management staff and over 70 indirect reports. Manage across teams in a complex matrix environment, based on goals, metrics, and clear performance indicators.

South Jordan, Ut, Us

Provided direction to Medical Policy Operations Team including 5 managers and over 50 staff members to achieve departmental quality goals resulting in annual accuracy rate of 99.97 %. Supported Medicaid, Medicare, and commercial health insurance companies as they implemented professional, outpatient, drugs and biological, DME medical policies for claims processing. Developed departmental procedures and processes to improve the performance of policy operations and to drive positive impacts to the overall product development for monthly release lifecycle. Influenced offshore operations team in Hyderabad, India; including reviewing monthly statistics and annual onsite visits for review and improvement of business processes.

South Jordan, Ut, Us

Responsible for the day-to-day management of four quality focused team units including Medical Policy Testing, Medical Policy Auditing, Claims Inquiry and Medical Policy Training including 4 managers and over 30 staff members. Developed Quality and Auditing Optimization Team to provide ongoing auditing for all medical policy rules including industry updates (i.e. new codes for CPT, ICD-9, HCPCS, etc.), resulting in 15% reduction in monthly release errors. Developed test plans and scripts including the execution and implementation of a 5010 Test Plan. Managed all Medical Policy Operations’ statistics, including individual and team’s productions errors, work submitted late, etc. to create monthly scorecards and dashboards.

South Jordan, Ut, Us

Managed the day-to-day operations of the Business Support Team including 3 supervisors and 15 Client Business Analyst. Responsible for reducing production errors from upwards of 20% to 8% per month. Created, executed and managed user acceptance testing, process improvement plans, and other mission critical assignments.

Atlanta, Ga, Us

Managed the budget and execution of a $10 million grant for the expansion and the implementation of the American Cancer Society Patient Navigator Program and patient support service. Negotiated all contract and vendor selection for divisions, hospitals and agencies utilizing grant funds. Served as the primary point of contact for all fiscal accountability, contract implementation and monitoring/reporting for all Divisions desiring support from the program grant. Responsible for the defining, developing and implementing all operational contracts including Memorandum of Understandings, Funding Agreements and other documentation. Responsible for managing all Mass Marketing's administrative, operational and fiscal activities. Served as the primary point of contact for all shared services for 13 divisions of Mass Marketing across the American Cancer organization. Managed all RFP processes, vendor selection and contract execution for Mass Marketing and Direct Mail Departments for American Cancer National Home and Division Offices. Responsible for creating and managing annual departmental budgets and expenses.

Irving, Texas, Us

Managed requirements verification, planning and coordination of a new revenue cycle management projects; including admission/disposition, bed management and patient billing. Responsible for developing detail project plans while working with functional area managers to reflect major milestones for tracking tasks and progress. Responsible for designing and documenting new application features for hospital admission/disposition, bed management, eligibility and pre-certification, billing and claims management. Assisted with resource leveling and resource assignment for build out and execution of project plans for development of new Revenue Cycle Management inpatient and ambulatory services.

Lithonia, Georgia, Us

Developed, implemented and establish the centralized outpatient-scheduling department (Patient Access Center) for all Dekalb Medical Facilities’ Scheduling and Pre-Access functions. This included 3 supervisors, 11 schedulers, 7 pre-registration personnel, and 2 pre-certification personnel. Managed Medicaid eligibility for uninsured patients and precertification process for imaging and outpatient procedures. Designed and implemented project plans, transition plans and training plans for the Access Center. Served as primary point of contact for vendor selection and contract negotiation for all capital expenditure for the build out of and ongoing maintenance of the Patient Access Center. Organized the implementation of centralized Patient Access Center to provide “pre-access” functions in a call center environment; including the centralization of scheduling, pre-registration and pre-certification. Created departmental policy and procedures and customer surveys to manage quality of service and care. Developed and provided ongoing updates and dashboards to key constituents such as hospital boards, community groups, hospital and healthcare organizations and provider offices throughout the organization.

Nashville, Tn, Us

Designed and developed enhancements for upcoming applications and system releases for Scheduling and Admissions modules of the STAR ADT (Admission, Discharge, Transfer and Scheduling) Hospital Information System. Provided education and training classes for scheduling and admissions enhancements for Support, Installation and Sales Teams, as well as, hospital and clinic users. Created use cases, test cases and test scenarios for beta testing of new Revenue Cycle Applications for STAR ADT.

Responsible for the day-to-day management of 138 employees (military and civilian) including 9 supervisors in the Patient Access Department. Responsible for managing over 49 employees (military and civilian) including five supervisors within the Management Information (IS/IT) Department. Managed a budget of $100,000+ while providing support for such areas as Health Information, Central Outpatient Scheduling, Admissions and Disposition, and Bed Management. Managed all contract and vendor relationship for IS/IT Department including selection and maintenance of software systems, hardware and contract staff members. Served as the primary point of contact for Patient Access Information Systems and security for Joint Commission and Inspector General reviews and assessments.

Master Of Public Health - Mph, Health/Health Care Administration/Management

Bachelor Of Arts - Ba, Psychology

Masters Of Science In Public Health, Health/Health Care Administration/Management