Samantha M. Underhill
Bluffton,SC
Summary
Versatile and detail-oriented support specialist with 10+ years of experience in; patient relations, medical billing and light coding, insurance verification, Medicare/Medicaid credentialing per provider and client, database knowledge and retrieval of medical records. Proficient in EPIC, AVAYA, and MYCHART programming, with a strong background in medical administration. Possesses a passion from the research to delivery and commitment to providing exceptional service to patients/ customers.
Overview
23
23
years of professional experience
Work History
Owner/ Swim Instructor
Swimsational LLC
Bluffton, SC
03.2024 - Current
- I moved to SC in September of 2023
- I gave myself a few months to get settled and figure out what I wanted to do or become
- I moved here to start over and decided I wanted to try to teach swim lessons on my own
- I went through all the legalities and became my own LLC
- I started to promote myself through Facebook and venturing out and meeting people
- Slowly but surely, I was able to build up some clientele
- I teach children from 4 months to 13 to swim
- Some children just need more confidence in believing in themselves others need help doing strokes and acquiring breath control
- I work with each child in their own environment to get them the water skills they need to be safe in the water
Support Specialist
Austin Regional Clinic Administration
Austin, TX
12.2020 - 08.2023
- Support Specialist for the Nurse Navigation Team with Population Health
- Pulled daily reports on patients who were in a hospital or rehab facility
- Pulled daily reports from the nurse navigation team on patients who may have passed away or were ready for a follow-up visit with their primary care physician
- Put this information into a spreadsheet for clinicians to have and know (also sent messages to the doctor's whose patients needed immediate attention)
- I reached out to the hospital via an online portal or by calling to get updated hospital records to schedule appointments
- Called and scheduled appointments for patients to be seen for a hospital follow-up or post-op hospital appointment
- Completed record requests and demographic inquiries on hospitalized patients
- Pulled information weekly for data reports and the analytics team
- Verified insurance benefits, costs, out of pocket deductions and anything else applicable to a patient's hospitalization
- Collected data and information on how to streamline and make this position more efficient
- Trained and was trained when new information or programming became available for EPIC, AVAYA, MYCHART or any other computer program
Independent Swim Instructor
Sunsational Swim School
Austin, TX
06.2020 - 08.2023
- I worked for an independent swim company that outsourced its employees to teach swim lessons in the Austin, TX area
- I would look at potential client's areas and needs of service
- Once I narrowed down the area of potential clients I would then outreach and set up a meet and greets to start swim lessons
- When Covid was furloughing people, I was reached out by a recruiter and offered this wonderful position
- I was able to teach swim lessons through this company on my own time and was able to set my own schedule and hours
- I continued teaching swim lessons while living in Austin, TX and it gave me the courage to attempt to teach on my own, once I moved to South Carolina
- I taught children as young as 4-6 months up to 13 years old
- Starting with breathing techniques and floating to proper strokes and timing
Grievance And Appeals Coordinator
Cenpatico
Austin, TX
09.2014 - 07.2018
- Reviewed medical claims for physical, occupational and speech therapies
- Determined whether the claim was a retro, denial or appeal
- Processed the claim if it was a retro
- Completed the field research for denials or appeals and sent for medical necessity when needed
- Sent acknowledgement letters and final decision letters to members and providers when needed
- Created patient demographics and authorizations for members
- Worked on denied claims and appeals from providers
- Processed denials for behavioral health claims
- Sent out denial letters to the members and providers
Provider enrollment coordinator
Health Directions
Austin, TX
05.2013 - 07.2014
- Provided support to clients by assisting physicians and practitioners with all aspects of the credentialing/privileging process
- Submit application for hospital privileges
- Monitor and manage licensure/certification reports
- Request, assist, and follow up on missing information needed by MSO to complete the privileging process
- Verify provider credentials using on-line resources and update proper databases
- Submit Medicare/Medicaid applications for new providers enrolling
- Accurately keyed all new physician data into credentialing database
Assistant Sales Leader
Pier 1 Imports
Bee Cave, TX
01.2013 - 08.2013
- Inspired each and every team member to perform at their best
- Determine the duties and responsibilities of individuals in a team
- Worked toward meeting daily sales goals
- Worked toward maintaining excellent daily customer service goals
- Inventory of stocking and restocking as needed
Administrative Assistant
House Call Doctors
Austin, TX
01.2012 - 02.2013
- Scheduled appointments
- Handled incoming call traffic and routed callers to the appropriate destination
- Answered basic questions for patients are care providers about appointments and information specific to the company
- Handled credit card transactions, did some light medical coding and created daily charge reports
- Handled indexing (digitization) of incoming fax traffic through our Liberty software
- Maintained breakfast and lunch schedule for meetings between care providers and pharmaceutical representatives to meet with their individual contacts
- As needed, assisted other departures to handle overflow traffic; this could be anything from assembling information packets to insurance verification (such as information and coverage details)
Resident assistant
Down Home Ranch
Elgin, TX
10.2007 - 11.2011
- Cared for residents with Downs Syndrome
- Assist/monitor/teach individuals with budgeting skills
- Assist/monitor/teach individuals engaging in daily chores
- Assist/monitor/teach individuals in holding house meetings and informal discussion groups with peers
- Teach problem solving skills/resolving conflicts
- Teach relationship building skills
- Implement OSHA regulations
- Performed daily record keeping (i.e
- Data collections, daily logs)
- Exchanged information with weekend staff and/or support staff
Receptionist
Scott & White Ob/Gyn Clinic
Killeen, TX
02.2007 - 10.2007
- Greeted and checked in patients
- Answered all incoming calls and scheduled appointments
- Returned calls for the doctors and patients
- Created patient charts and updated information regarding appointments
- Helped with a vast amount of scanning and filing
- Pulled files and printed necessary documentation for upcoming appointments
- Helped prepare waiting room/exam rooms when necessary
FedEx Online support
Apple One Temp Agency
Austin, TX
10.2006 - 01.2007
- Handled inbound and outbound calls regarding the FedEx Online portal
- Took front end calls and determined if the problem could easily be resolved
- Assisted customers with troubleshooting and online tools
- Assisted customers in completing international shipping
- Provided information about the website to help expedite their transaction
Assistant manager
Lakewood Country Club
Dallas, TX
04.2002 - 10.2006
- Directly responsible for the activities of the service areas of the pool
- Oversaw the hiring process of summer employees
- Oversaw the service training programs of lifeguards and wait staff
- Directly responsible to develop and maintain an effective program of employee recognition and reward
- Put together a summary of summer profits and budgeting reports
- Filled in when necessary as lifeguard, waitstaff and bartender
Education
Undergraduate work - Marine Organismal Biology, Psychology and Communications
University of Mary Hardin-Baylor
Belton, TX01.2011
Business of Applied Science - Speech Communications
Eastfield Community College
Mesquite, TX01.2005
Skills
- Customer relations
- Small business operations
- Relationship building
- Verbal and written communication
- Client service
- Project management
- Operations management
- Business management
- Business planning
- Strategic planning
Timeline
Owner/ Swim Instructor
Swimsational LLC
03.2024 - Current
Support Specialist
Austin Regional Clinic Administration
12.2020 - 08.2023
Independent Swim Instructor
Sunsational Swim School
06.2020 - 08.2023
Grievance And Appeals Coordinator
Cenpatico
09.2014 - 07.2018
Provider enrollment coordinator
Health Directions
05.2013 - 07.2014
Assistant Sales Leader
Pier 1 Imports
01.2013 - 08.2013
Administrative Assistant
House Call Doctors
01.2012 - 02.2013
Resident assistant
Down Home Ranch
10.2007 - 11.2011
Receptionist
Scott & White Ob/Gyn Clinic
02.2007 - 10.2007
FedEx Online support
Apple One Temp Agency
10.2006 - 01.2007
Assistant manager
Lakewood Country Club
04.2002 - 10.2006
Business of Applied Science - Speech Communications
Eastfield Community College
Undergraduate work - Marine Organismal Biology, Psychology and Communications
University of Mary Hardin-Baylor