Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

LYNETTE M GAIDRICH

North Augusta,SC

Summary

Dependable employee seeking opportunity to expand skills and contribute to company success. Ready to take on challenges using problem-solving and task prioritization skills to help team succeed.

Overview

25
25
years of professional experience

Work History

Enhanced Benefits Coordinator

Wellstar-MCG
Augusta, GA
01.2024 - Current
  • Verify insurance benefits and eligibility
  • Obtain and validate insurance and financial information
  • Obtain any required precertification and/or prior authorization
  • Communicate with Pharmacists, Medical staff, insurance companies and my direct team
  • Highlight your accomplishments, using numbers if possible

Financial Assistance Counselor

Wellstar-MCG
Augusta, GA
06.2022 - Current
  • Facilitate the Indigent Care application process for financial assistance with all applicable and appropriate patients
  • Follow up with patients to obtain all supporting documentation for each application process
  • Identifying and collecting patient financial obligation amounts, i.e., co-payments, co-insurance, deductibles, etc
  • Maintain documentation on all work activity for each patient account in the appropriate systems
  • Obtaining and accurately entering demographic and financial information into the computer system
  • Determining estimated financial responsibility for services being rendered

Financial Assistance Specialist

Renown Regional Medical Center
Reno, NV
03.2018 - 03.2022
  • Facilitate the application process (Medicaid) for financial assistance with all applicable and appropriate patients
  • Identify all insurance payer sources and payer order sequence; timely insurance notification; determine estimated cost for services being rendered; identifying and collecting patient financial obligation, i.e., co-payments, co-insurance, deductibles, etc
  • Follow up with patients to obtain all supporting documentation for each application process and monitor all applications processed
  • Maintain communication/correspondence with patients, representatives, designated family members, staff, and all government entities on all accounts served
  • Obtaining and accurately entering demographic and financial information into the computer system
  • Identifying all insurance payer sources and payer order sequence
  • Verifying insurance eligibility and benefits

Dental Assistant

Davis Dentistry
Scottsdale, AZ
10.2014 - 10.2018
  • Established clean, sterile and welcoming environment for patients.
  • Educated patients on techniques to optimize oral hygiene, control plaque and protect teeth and gums.
  • Explained dental services and payment plans to help patients make informed decisions.
  • Assisted dentist in providing dental treatment to patients, including taking patient medical histories and vital signs.
  • Created dental x-rays using traditional and digital methods to help dentists detect tooth decay, cavities and other issues needing to be treated.
  • Identifying and collecting patient financial obligation amounts, i.e
  • co-payments, co-insurance, deductibles, etc
  • Called insurance companies for status of reimbursement.
  • Entered payments received from insurance companies to patients accounts.

Dental Assistant

Pacific Dental Services
Phoenix, AZ
03.2009 - 09.2014
  • Explained dental services and payment plans to help patients make informed decisions.
  • Kept track of treatment information in patient records.
  • Took medical and dental history and recorded vital signs of patients.
  • Provided chair-side assistance during dental procedures, including passing instruments to the dentist and holding suction devices.
  • Providing assistance to the office, verifying insurance, scheduling appointments, and collecting patient financial obligation amounts, i.e
  • co-payments, co-insurance, deductibles, etc
  • Reviewed patient charts prior to visits to ensure that all relevant information was available for the doctor's review.

Patient Access Representative

Banner Baywood Medical
Mesa, AZ
08.2007 - 08.2010
  • Addressed patient's needs upon arrival, maintained confidentiality and HIPAA compliance, updated confidential records into multiple databases
  • Educated patients on legal documentation, collected balances due and co-pays
  • Complied with organizational policies and procedures, regulatory requirements and other established criteria and guidelines
  • Communicated with physicians and nursing staff to resolve issues and/or patient concerns

Patient Service Representative

Medical College of Georgia, s Medical Center
Augusta, GA
08.2004 - 06.2007
  • Work to meet patient's needs beside to expedite patient registration
  • Review financial services
  • Collect co-pays and deposits
  • Complete required forms and obtain appropriate signatures
  • Verify insurance coverage and obtain authorizations and notifications for care
  • Obtain and encode information into the patient management system of all demographic and insurance information

Patient Access Representative

Scottsdale Healthcare Osborn Medical Center
Scottsale, AZ
01.2002 - 06.2004
  • Explaining and obtaining signatures on admission, clinical and financial forms
  • Collecting accident information
  • Identifying all insurance payer sources
  • Identifying payer order sequence
  • Verifying insurance eligibility
  • Charge order entry processing
  • Determining estimated cost for services being rendered
  • Identifying and collecting patient financial obligation amounts, i.e
  • co-payments, co-insurance, deductibles, etc
  • Documenting all information collected timely and in accordance with department requirements
  • Explores the financial need of the patient and when appropriate refers the customer to the appropriate federal, state, or county assistance agencies
  • The incumbent is responsible for scheduling, order entry and reception functions and assists in completion of departmental tasks
  • This position has the authority to solve problems following established company guidelines
  • Decisions that must be referred to a supervisor are matters that involve problems which can develop negatively towards the company, time off requests, sick time, work schedules, interoffice problems, etc

ER Registrar

St. Josephs
Phoenix, AZ
01.2001 - 09.2001
  • This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting site within the health system
  • This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e
  • patients, patient’s families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc
  • This position ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and accurate charge order entry
  • Serves the patient and family in such a manner as to make the admission process as comfortable and pleasant as possible
  • The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collecting of demographic, clinical, and financial information in person or via telephone interviews
  • Takes an active role in decreasing accounts receivables by following established guidelines, regulations, policies and procedures during the registration process in accurately:
  • Obtaining and accurately entering demographic, clinical, financial information into the computer system

ER Registration Representative

Good Samaritan
Phoenix, AZ
01.2000 - 12.2000
  • Explaining and obtaining signatures on admission, clinical and financial forms
  • Collecting accident information
  • Identifying all insurance payer sources
  • Identifying payer order sequence
  • Verifying insurance eligibility
  • Charge order entry processing
  • Determining estimated cost for services being rendered
  • Identifying and collecting patient financial obligation amounts, i.e
  • co-payments, co-insurance, deductibles, etc
  • Documenting all information collected timely and in accordance with department requirements
  • Explores the financial need of the patient and when appropriate refers the customer to the appropriate federal, state, or county assistance agencies

Education

Dental Assistant Certification -

Pima Medical Institute
Mesa, AZ

Skills

  • Insurance benefits verification
  • Attention to detail
  • Referral coordination
  • Positive attitude
  • Payment collection
  • Eligibility determination
  • Insurance authorizations
  • Healthcare benefits
  • Benefits interpretation

Timeline

Enhanced Benefits Coordinator

Wellstar-MCG
01.2024 - Current

Financial Assistance Counselor

Wellstar-MCG
06.2022 - Current

Financial Assistance Specialist

Renown Regional Medical Center
03.2018 - 03.2022

Dental Assistant

Davis Dentistry
10.2014 - 10.2018

Dental Assistant

Pacific Dental Services
03.2009 - 09.2014

Patient Access Representative

Banner Baywood Medical
08.2007 - 08.2010

Patient Service Representative

Medical College of Georgia, s Medical Center
08.2004 - 06.2007

Patient Access Representative

Scottsdale Healthcare Osborn Medical Center
01.2002 - 06.2004

ER Registrar

St. Josephs
01.2001 - 09.2001

ER Registration Representative

Good Samaritan
01.2000 - 12.2000

Dental Assistant Certification -

Pima Medical Institute
LYNETTE M GAIDRICH