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
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
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
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
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
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
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
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
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
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
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
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
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