Samantha Gali

As a Clinical Review Nurse, I review and analyze complex health care claims, providing clinical insights and guidance to team members. My role involves interpreting CMS guidelines, conducting medical necessity reviews, and identifying potential fraud. I also participate in provider education initiatives.

In my role as a Registered Nurse, I planned and implemented patient care, monitored patient conditions, and collaborated with interdisciplinary teams. I also provided education to patients and families, ensuring care was tailored to individual needs.

As a Healthcare Clerk, I assisted with clerical tasks, data entry, and maintained patient care databases. I also followed up with adjusters and managed communication related to patient appointments and medical records.

As a Billing Specialist, I reviewed doctor's notes for documentation, followed billing guidelines, and managed coding for procedures and diagnoses. My role involved office support and ensuring accurate billing processes.

Achieved a Bachelor of Science in Nursing, gaining comprehensive clinical knowledge and skills essential for nursing practice.

Earned an Associate of Arts degree, enhancing my understanding of healthcare principles and preparing for a Bachelor’s degree in nursing.

Completed an Associate of Arts degree, focusing on foundational knowledge and skills necessary for further education in nursing.