Jeremiah Garnett
@jeremiahgarnett
Experienced health information specialist specializing in provider data management and compliance.
What I'm looking for
I am a health information specialist with extensive experience in provider data management, claims processing, and regulatory compliance, currently serving as a senior-level provider data analyst.
I led a team that increased claims processing efficiency to 98% and have a track record of implementing system improvements, conducting quality audits, and reducing operational errors.
I am proficient in ICD-9, ICD-10, HCPCS, CPT coding, Medicare and Medicaid regulations, HIPAA, and I use Microsoft Access and SQL to run scripts and generate reports.
I excel at training and developing teams, managing high-volume provider data projects, conducting detailed research, and delivering process improvements that enhance accuracy and operational efficiency.
Experience
Work history, roles, and key accomplishments
Sr. Provider Data Analyst
UnitedHealth Group
Feb 2023 - Present (2 years 6 months)
Manage provider and clinic data for FQHC, delegated, RCL and non-delegated contracts, loading and updating provider records and contracts to ensure data accuracy and regulatory compliance.
Provider Data Analyst
UnitedHealth Group
Sep 2021 - Feb 2023 (1 year 5 months)
Performed provider data entry and research for commercial, Medicare, and Medicaid contracts; verified inbound data from multiple sources and contacted providers to ensure accurate records and compliance.
Customer Service Representative
UnitedHealth Group
Aug 2020 - Sep 2021 (1 year 1 month)
Communicated with policyholders to identify issues and resolve cases, documenting call details and maintaining an average of 70–100 calls per day.
Referral Coordinator
Option Care
Apr 2019 - Jun 2020 (1 year 2 months)
Coordinated referral onboarding and care transition documentation, executed Title 19 submissions for Medicaid patients, and established patient payment options and authorizations.
Front Office Medical
DFW Retina
Oct 2018 - Apr 2019 (6 months)
Managed inbound calls, scheduled appointments, verified insurance, submitted authorization requests, and collected copays to support clinic operations.
Charge Entry Specialist
Medi-Lynx
Mar 2017 - Oct 2018 (1 year 7 months)
Submitted claims to Medicare, Medicaid, and commercial insurers, investigated rejections to identify denial reasons, and posted patient payments while meeting productivity and quality standards.
Customer Service Representative
Warrantech
Nov 2016 - Jan 2017 (2 months)
Communicated warranty coverage details with customers and scheduled service appointments for appliances and electronics to ensure timely resolution of service requests.
Provider Analyst Team Lead
Silverback TPA
Feb 2012 - Sep 2016 (4 years 7 months)
Led a team implementing a new claims system, performed quality audits, trained staff, and increased claims processing efficiency to 98% through process improvements and oversight.
Education
Degrees, certifications, and relevant coursework
CCI Training Center
Attended CCI Training Center in Arlington, TX for vocational and technical training.
Green B. Trimble Technical High School
Attended Green B. Trimble Technical High School in Fort Worth, TX.
Availability
Location
Authorized to work in
Job categories
Skills
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