Bianca A. Gonzalez, BSN, RN

Provide direct patient care on a 1:4 nurse-to-patient ratio, managed by two nurses delivering total care on the Medical/Oncology unit and direct patient care on a 1:6 nurse-to-patient ratio with a tech on the Medical-Surgical unit.

• Conduct patient assessments to establish a baseline, identify changes in condition, promptly notify the physicians and initiate appropriate interventions when necessary.
• Administer medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Manage patients recovering from medical or surgical procedures.
• Monitor patients' vitals on a PCA pump, verify and manage settings regarding amount of medication administered.
• Administer blood and blood products as necessary, ensuring proper transfusion protocols and patient monitoring.
• Initiate and manage Heparin drips, titrating dosages based on lab results and patient response.
• Facilitate patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
• Contribute to interdisciplinary team meetings by presenting relevant clinical data about patients' progress toward reaching established goals of care.

• Processed 75+ medical insurance claims daily with a 95% accuracy rate or higher to ensure timely and accurate payments on services rendered.
• Collaborated with physicians to ensure accurate documentation and appropriate coding practices were followed for proper reimbursement.
• Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
• Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.

• Analyzed and coded medical claims on behalf of physicians providing services at a level 1 trauma center
• Processed 100 medical insurance claims daily with a 95% coding accuracy rate for payment of services rendered
• Used classification manuals to gain additional knowledge of disease and diagnoses processes.
• Promoted consistent communication among the interdisciplinary team to address any coding or reimbursement concerns promptly and effectively.
• Reduced claim denials by closely adhering to payer-specific guidelines and addressing any issues prior to submission.

• Delivered foot care to include nail trimmings and filing to over 50-60 diabetic patients daily
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Assisted physicians with minor procedures, including preparing procedure room and sterilizing instruments.
• Processed 50 medical insurance claims daily for payment of services rendered
• Reviewed unpaid claims and made necessary correction for proper payment
• Scheduled and obtained authorizations for MRIs, minor to major surgical procedures