Jamilla Gunnell, BSN, RN, CPC-A

• Review and resolve complex insurance claim denials by analyzing payer explanations of benefits and making outbound calls to provider relations.
• Resubmit claims with appropriate documentation per insurance guidelines to ensure timely reimbursement.
• Communicate professionally with patients, insurance carriers, referral sources, and internal teams to expedite billing and collections.
• Maintain detailed documentation of communications and actions within billing systems, supporting compliance and transparency.
• Identify workflow trends, contribute to process improvement, and consistently meet or exceed quality assurance standards.
• Support reduction in Days Sales Outstanding (DSO) and increase overall collection efficiency.

• Led a team of 4 nurses and 10 technicians and oversaw all aspects of dialysis nursing services.
• Conducted audits of patients' charts to ensure compliance with CMS policies and regulations.
• Verified that care treatment teams' notes were up to date and accurate.
• Provided education and training to staff on best practices, policies, and regulations related to patient care.
• Responded to all emergencies in clinic, ensuring all emergency equipment was in working order and familiarizing myself with all emergency operational procedures.
• Ensured effective staffing, adhering to staffing ratios per state regulations, and working closely with Administrator to maintain optimal staffing levels.
• Transcribed physician's orders accurately and implemented them effectively, assisting physicians during patient rounds to ensure proper care was being provided.

• Managed inpatient dialysis treatment for up to 5 patients per day for Adventist Medical Center and Peace Health Southwest, ensuring all patients received high-quality care.
• Monitored patients closely during dialysis treatment, adjusting specialized equipment as needed and interpreting and recording patient information accurately.
• Identified irregular dialysis reactions and promptly notified appropriate medical team members, ensuring timely and effective treatment.
• Provided patient education on managing their illness, including post-treatment home care needs, diet and nutrition, exercise programs, and self-administration of medication, helping patients to better understand and manage their condition.

• Managed and tracked over 80 patients' anemia using Fresenius' anemia algorithm, ensuring that patients received appropriate treatment and care.
• Collaborated regularly with staff including doctors, dietitians, and social workers to design personalized care plans for each patient, taking into account their unique needs and circumstances.
• Managed and assisted Patient Care Technicians in fast-paced environment and during emergencies, ensuring continuity of care and patient safety.
• Conducted audits of treatment records and ensured that all documentation was complete and accurate, adhering to strict regulatory and compliance standards.
• Served as preceptor for new nursing staff, providing training, guidance, and support to ensure smooth transition and effective performance in their new role.
• As Registered Nurse, also assessed daily patient needs, developed appropriate patient care assignments, provided ongoing education to patients regarding their renal disease and related health conditions, and ensured patients received effective delivery of dialysis and all other prescriptions.

• Conducted daily assessments for 24 patients and developed appropriate patient care assignments, taking into account their unique needs and medical history to ensure best possible outcomes.
• Provided ongoing patient education regarding their renal disease, vascular access, dialysis therapy, and other related health conditions, empowering patients to take active role in managing their health.
• Ensured that patients received effective delivery of dialysis and all other prescribed medications, closely monitoring their response and adjusting treatment as needed to ensure optimal outcomes.
• Maintained accurate and complete documentation of all relevant patient data and status, entering information into appropriate electronic medical records system to ensure easy accessibility and compliance with regulatory and compliance standards.

• Honoree of Sigma Theta Tau

• Honoree of Phi Theta Kappa
• Honoree of President’s Education Award