Dedicated professional with over 10 years of experience in health program coordination, member engagement, and call center operations. Proven ability to excel in fast-paced environments, adept at managing member interactions within Salesforce. Seeking entry-level Quality Assurance role to apply expertise in health plan member enrollment, risk assessments, and HIPAA-compliant communication.
Hi, I’m
Rickiea Barnes
Chicago,IL
Summary
Overview
11
years of professional experience
Work History
Teladoc Health
Member Outreach Specialist
06.2022 - 04.2025
Job overview
- Conducted direct email and telephone outreach to enroll members in Livongo program.
- Evaluated potential participants for preventive care and health management programs by administering pre-qualification health screenings.
- Maintained accurate and confidential records, including call scripts, troubleshooting protocols, and updates to protected health information.
- Documented member interactions and activities meticulously in Salesforce, handling over 100 calls daily and achieving up to seven registrations per day.
Anthem, Inc.
Health Program Specialist (Temporary Assignment)
12.2021 - 06.2022
Job overview
- Conducted Health Risk Assessments for members, ensuring compliance with HIPAA guidelines during information verification and member support processes.
- Facilitated member access to healthcare services by assisting in the selection of Primary Care physicians and specialists, as well as scheduling medical appointments.
- Managed a high volume of inbound calls, averaging 50-100 daily, delivering resources to enhance member quality of life and providing reminders for Health Effectiveness Data and Information Set (HEDIS).
Meridian Health
Benefits Outreach Coordinator (Temporary Assignment)
06.2020 - 12.2021
Job overview
- Administered Health Risk Assessments and delivered COVID-19 assessments and HEDIS reminders through proactive outreach calls.
- Assisted members in transitioning to new healthcare providers while maintaining HIPAA information security standards.
- Handled 50-120 calls daily, providing assistance with appointment scheduling and access to quality-of-life resources.
Next Level Health
Member Engagement Specialist (Temporary Assignment)
04.2019 - 06.2020
Job overview
- Conducted Health Risk Assessments, accurately identifying member health needs.
- Coordinated transportation for medical appointments and aided in the selection of Primary Care physicians and specialists, adhering to network guidelines.
- Ensured strict HIPAA compliance while managing between 50 and 120 daily calls and supplying resources for non-emergency inquiries.
Harris & Harris
Patient Account Representative
05.2018 - 01.2019
Job overview
- Maintained compliance with HIPAA regulations while managing high-volume communication for medical bill payments.
- Analyzed EOB documents to determine financial obligations.
- Proposed individualized payment options to help patients navigating monetary challenges.
Beacon Therapeutic/Family Works
Lease Compliance Specialist/Case Manager
01.2014 - 03.2018
Job overview
- Coordinated with Chicago Housing Authority to manage lease compliance issues.
- Administered daily office functions, accurately inputting data into compliance systems and maintaining up-to-date resident records using Salesforce.
- Thoroughly enhanced managerial decision-making and audit processes through documentation creation.
- Conducted community outreach efforts to boost resident participation and engagement.
Education
BIR Training InstituteChicago, IL
Medical Office Administration from Health Care Administration
University Overview
Allied Institute of Professional StudiesChicago, IL
Certificate from Sterile Processing Technician
09.2021
University Overview
Skills
- Customer Service/Call Center
- Billing
- Administrative/Clerical/Data Entry
- Microsoft Office Software
- Salesforce Software
- Sharepoint
- Yardi
- Case Management/Outreach
- 1st Party Collections
- EPIC System
Timeline
Member Outreach Specialist
Teladoc Health
06.2022 - 04.2025
Health Program Specialist (Temporary Assignment)
Anthem, Inc.
12.2021 - 06.2022
Benefits Outreach Coordinator (Temporary Assignment)
Meridian Health
06.2020 - 12.2021
Member Engagement Specialist (Temporary Assignment)
Next Level Health
04.2019 - 06.2020
Patient Account Representative
Harris & Harris
05.2018 - 01.2019
Lease Compliance Specialist/Case Manager
Beacon Therapeutic/Family Works
01.2014 - 03.2018
BIR Training Institute
Medical Office Administration from Health Care Administration
Allied Institute of Professional Studies
Certificate from Sterile Processing Technician
Similar Profiles
Nadine TshiabaNadine Tshiaba
Expert Medical Coordinator - Chronic Care at Teladoc HealthExpert Medical Coordinator - Chronic Care at Teladoc Health
John DavignonJohn Davignon
Customer Service Representative at Teladoc HealthCustomer Service Representative at Teladoc Health
Crystal WinterfeldtCrystal Winterfeldt
Specialist, Member Outreach at Teladoc HealthSpecialist, Member Outreach at Teladoc Health
Tsvetelin PenevTsvetelin Penev
Back Server at The Peninsula HotelBack Server at The Peninsula Hotel
Jose Sanchez-GarciaJose Sanchez-Garcia
Certified Medical Assistant at Northwestern MedicineCertified Medical Assistant at Northwestern Medicine