Summary
Overview
Work History
Education
Skills
Timeline
Generic

Agaria Haynes

Manvel,TX

Summary

Dynamic Patient Service Representative with extensive experience at South Star Urgent Care, excelling in insurance verification and patient scheduling. Proven ability to enhance patient satisfaction through exceptional customer service and meticulous attention to detail. Proficient in Epic Systems, ensuring compliance with HIPAA regulations while streamlining administrative processes.

Overview

11
11
years of professional experience

Work History

Patient Service Representative

South Star Urgent Care
New Iberia, LA
01.2024 - Current
  • Documented and managed patient information in computer system.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Explained policies, procedures and services to patients.
  • Checked in and checked out the patients, verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.

Radiology Scheduler

Carenet healthcare
Houston, TX
03.2023 - 01.2024
  • Assisted with verifying insurance or other third-party coverage, concerns of the patient to the appropriate department or agency.
  • Coordinated patient appointments with physicians, hospitals and other healthcare facilities.
  • Maintained detailed records of patients' appointments and updated relevant databases accordingly.
  • Provided excellent customer service by answering inquiries in a timely manner.
  • Upheld HIPAA regulations and standards for protecting patient information.

Medical Administrative Assistant

Baylor College Of Medicine
Houston, TX
11.2021 - 02.2023
  • Collected co-pays and insurance data, applying full and proper payment to patient accounts.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Communicated with patients with compassion while keeping medical information private.
  • Assisted with referrals and prepared medical records for patients.
  • Scheduled and confirmed patient appointments and consultations.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Scheduled appointments for patients via phone and in person.

Provider Service Advocate

United Healthcare Group
Sugar Land, TX
04.2018 - 11.2021
  • Efficiently navigate through more than 30 systems to extract the necessary information to resolve and
    avoid issues across multiple lines of business, provider types, and call types.
  • Triage contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)
    Understand and identify the needs of the provider, answer questions and resolve issues (e.g. benefits
    and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
  • Research and dissect complex prior authorization and claim issues and take appropriate steps to
    resolve identified issues to avoid repeat calls, escalations, and provider dissatisfaction.
  • Performed data input to document care and services plans, needs assessments and progress notes.

Call Center Representative

Iqor
Houston, TX
01.2016 - 04.2018
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Handled an average of 40 inbound calls, outbound calls, emails, and chats per day, addressing customer inquiries, solving problems, and providing product information.
  • Addressed all customer inquiries and provide an accurate and efficient response.
  • Maintained strong call control and quickly worked through scripts to address problems.
  • Exceeded established service goals while leveraging customer service, sales and employee management best practices.
  • Recorded actions taken, issues resolved, and customer information to effectively manage customer
    accounts.
  • Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.

Cashier

Little Caesars
New Iberia, LA
09.2014 - 01.2016
  • Greeted customers and answered any questions they had about the store's products and services.
  • Verified that customers were of legal age to purchase alcohol or tobacco products.
  • Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
  • Issued receipts, refunds, credits or change due to customers.

Education

High School Diploma -

Westgate High School
New Iberia, LA
05.2014

Some College (No Degree) -

Unitech Training Academy - Lafayette
Lafayette, LA

Skills

  • Charting and Clinical Documentation
  • Multi-Line Phone Operations
  • Medical Charting
  • Epic Systems
  • Detail-Oriented
  • Data Entry Software
  • Critical Thinking
  • Patient Scheduling
  • Patient Billing
  • Insurance Authorizations
  • Data Entry
  • Patient Health Information Access
  • Organization & Time Management
  • Proficient with Microsoft Office Software
  • Inbound & Outbound Calling
  • Office Management
  • HIPAA Compliance
  • Data Entry & Maintenance
  • Excellent Customer Service
  • Quality Assurance Control
  • Customer Service
  • Insurance verification

Timeline

Patient Service Representative

South Star Urgent Care
01.2024 - Current

Radiology Scheduler

Carenet healthcare
03.2023 - 01.2024

Medical Administrative Assistant

Baylor College Of Medicine
11.2021 - 02.2023

Provider Service Advocate

United Healthcare Group
04.2018 - 11.2021

Call Center Representative

Iqor
01.2016 - 04.2018

Cashier

Little Caesars
09.2014 - 01.2016

High School Diploma -

Westgate High School

Some College (No Degree) -

Unitech Training Academy - Lafayette

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Agaria Haynes