Karen Garrett

• Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
• Improved claim denial resolution by thoroughly researching and identifying root causes of denials. Escalating payer issues and appealing when appropriate.
• Maintained up-to-date knowledge of industry trends and best practices in denial management, ensuring the organization''s processes remained competitive and effective.
• Key member in development of onsite physician advisor program effective August 2022 resulting in an multi-million dollar gross overturned claim charges since implementation.
• Participated in cross-functional projects focused on improving end-to-end revenue cycle performance, leveraging expertise in denial management as a key contributor. (SVI - Little Rock Medicaid Project).
• Enhanced payer relationships by maintaining professional and effective interactions during the denial resolution process.
• Conducted regular audits of denied claims, identifying areas for improvement in the revenue cycle process.
• Streamlined the case management process by effectively prioritizing high-risk cases for timely intervention and followup.
• As team lead, successful in fostering a supportive work environment and promoting open communication among team members.
• Facilitated effective teamwork through collaborative problem-solving sessions.
• Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.

• Administered medications via oral, IV, and intramuscular injections, administered intravesical chemotherapy and monitored responses.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Developed clinic policies and procedures for equipment cleaning, storage and sterilization per CDC guidelines. Implemented infection control measures, maintaining a safe environment for both patients and staff members.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Managed budgets and controlled costs, achieving financial targets without compromising patient care quality.

Managed 4 nurses for home and satellite clinics by providing comprehensive nursing guidance.

• Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better self-management. (Renal unit)
• Ensured accuracy in patient records by meticulously documenting assessments, interventions, and outcomes, ultimately contributing to better-informed decision making by healthcare providers.
• Communicated effectively with patients and family members to convey important instructions and discuss treatments.

• Assisted patients with daily living activities, promoting independence and dignity.
• Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
• Enhanced patient satisfaction by providing compassionate and attentive care.