Jennifer Santos
Summary
Accomplished Intake Nurse Support at Gallagher Bassett Services Inc., adept in streamlining data entry for utilization review, ensuring HIPAA compliance, and reducing claim denials by meticulous documentation verification. Skilled in teamwork, critical thinking, and knowledgeable in Microsoft Office. Proven track record of enhancing documentation accuracy through continuous professional development and effective communication.
Overview
18
18
years of professional experience
Work History
Intake Nurse Support
Gallagher Bassett Services Inc.
08.2022 - Current
- Streamlined data entry processes, ensuring timely submission of all required documentation for utilization review activities.
- Ensured compliance with regulatory guidelines by undergoing audits to ensure compliance with HIPPA
- Reduced instances of denied claims due to insufficient documentation by meticulously verifying the accuracy of all submitted materials during the utilization review process.
- Maintained up-to-date knowledge of clients trends, best practices, and regulatory requirements to ensure accurate and relevant guidance during intake process.
- Upheld HIPAA regulations and standards for protecting patient information.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
Dialysis Nurse
B Braun Company
02.2022 - 08.2022
- Promoted adherence to prescribed dietary restrictions among patients through comprehensive education on renal nutrition principles.
- Contributed to the overall success of the dialysis center by consistently demonstrating strong clinical skills, effective communication, and dedication to delivering exceptional patient care.
- Analyzed emergency situations and took prompt action to save lives.
- Ensured ongoing professional development through participation in continuing education courses and maintaining familiarity with advancements in nephrology nursing practice.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Recorded details regarding therapies to keep patient charts updated.
Insurance Intake Nurse
ESIS
11.2006 - 06.2020
- Maintained strong attention to detail while reviewing numerous documents daily, ensuring consistent quality and accuracy.
- Maintained strict confidentiality with sensitive client information, adhering to industry standards and company policies.
- Supported continuous improvement initiatives by actively participating in team meetings, trainings, and workshops focused on enhancing reviewer skills and processes.
- Actively sought opportunities for professional development, attending industry conferences and webinars to expand expertise in relevant fields.
- Identified areas for potential improvements within reviewed materials, providing actionable recommendations to clients.
- Sustained high levels of productivity under tight deadlines by efficiently using available resources.
Education
Bachelor of Science - Nursing
Our Lady of Fatima College of Nursing
Valenzuela, Metro Manila, Philippines07-1992
High School Diploma -
St. Mary's College
Quezon City, Metro Manila, Philippines03-1986
Skills
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Multitasking
- Critical thinking
- Excellent communication
- Active listening
- Effective communication
- Microsoft office
- Task prioritization
- Accurate documentation
- Professionalism
- Interpersonal communication
Timeline
Intake Nurse Support
Gallagher Bassett Services Inc.
08.2022 - Current
Dialysis Nurse
B Braun Company
02.2022 - 08.2022
Insurance Intake Nurse
ESIS
11.2006 - 06.2020
Bachelor of Science - Nursing
Our Lady of Fatima College of Nursing
High School Diploma -
St. Mary's College
Similar Profiles
Ashley TorresAshley Torres
Senior Administrative Assistant at Gallagher Bassett Services, Inc.Senior Administrative Assistant at Gallagher Bassett Services, Inc.
Ryan WhitleyRyan Whitley
Senior Claim's Resolution Manager at Gallagher Bassett Services Inc.Senior Claim's Resolution Manager at Gallagher Bassett Services Inc.
Vanessa HaroVanessa Haro
Risk Advisor Representative at Gallagher Bassett Services Inc.Risk Advisor Representative at Gallagher Bassett Services Inc.