SAMANTHA AUSTIN
North Kingstown,RI
Summary
Healthcare billing and reimbursement professional with a background in claims processing, accounts receivable, and revenue cycle operations. Supports accurate claim handling through auditing, payer issue resolution, staff training, and workflow improvement, while managing high-volume work and maintaining billing system and fee schedule accuracy.
Overview
1
1
Certification
10
10
years of professional experience
Work History
Reimbursement Coordinator Team Lead (Remote)
Enhabit Home Health & Hospice
Dallas, TX
03.2025 - Current
- Serve as a subject matter expert and primary resource for complex billing, reimbursement, and workflow questions.
- Conducted claim audits identifying errors, trends, compliance concerns, and opportunities for process improvement to enhance claim accuracy.
- Provided training and coaching on billing procedures, systems, payer requirements, and complex workflows, improving team competency.
- Maintain billing system configurations, payer setups, and fee schedules to support accurate claim processing.
- Manage self-pay billing activities including reviewing credit card payment reports, and ensuring payments are accurately applied to patient accounts.
Medical Billing Manager (Remote)
Lightyear Health
Buskirk, CA
04.2022 - 02.2025
- Managed daily medical billing operations, including electronic claim submission, billing workflows, and accounts receivable activities.
- Researched and resolved complex billing and reimbursement issues using payer policies and regulatory requirements.
- Developed and maintained billing policies and procedures, enhancing workflow consistency and supporting operational efficiency.
- Acted as the primary point of contact for patient and provider billing inquiries.
Billing Specialist
Visiting Nurse Home & Hospice
Portsmouth, RI
04.2021 - 04.2022
- Submitted and followed up on insurance claims, resolved denials and explanation of benefits discrepancies, and supported timely reimbursement.
- Processed patient invoices for home health billing operations.
- Posted payments to patient accounts and billing records.
Direct Support Professional
The Fogarty Center
Warwick, RI
10.2019 - 04.2021
- Assisted individuals with daily living needs, coordinated appointments, managed medication routines, and maintained safe, organized environments.
Certified Nursing Assistant
Cornerstone Adult Day Services
Warwick, RI
08.2016 - 10.2019
- Delivered direct patient support through personal care, feeding, mobility assistance, and activities aligned with care-plan objectives.
Education
Certificate - Medical Billing & Coding
Community College of Rhode Island
Warwick, RI01-2021
Skills
- Healthcare Billing & Reimbursement
- Claims Processing & Resolution
- Home Health Billing
- Claims Auditing & Quality Assurance
- Medicare, Medicaid & Commercial Payers
- Payer Policy & Regulatory Compliance
- Revenue Cycle & A/R
- Billing Systems & EHR Platforms
- Workflow & Process Improvement
- Team Leadership & Training
- Staff Coaching & Development
- Microsoft Office & Google Workspace
Certification
Certified Professional Coder (CPC-AAPC), Certified Billing and Coding Specialist (CBCS-NHA), Administrative Office Technology Certification (ACRI), Medical Insurance Billing Certification (CCRI)
Timeline
Reimbursement Coordinator Team Lead (Remote)
Enhabit Home Health & Hospice
03.2025 - Current
Medical Billing Manager (Remote)
Lightyear Health
04.2022 - 02.2025
Billing Specialist
Visiting Nurse Home & Hospice
04.2021 - 04.2022
Direct Support Professional
The Fogarty Center
10.2019 - 04.2021
Certified Nursing Assistant
Cornerstone Adult Day Services
08.2016 - 10.2019
Certificate - Medical Billing & Coding
Community College of Rhode Island