Summary
Overview
Work History
Education
Skills
Additional Information
Software
Certification
Timeline
SeniorSoftwareEngineer
VALERIE BARMORE

VALERIE BARMORE

Healthcare Advocate
Chicago,IL

Summary

With 10 years of experience in optimizing patient access and enhancing healthcare operations, a dedicated Health+Care+Advocate. Expertise in call center management, insurance verification, and process improvement, contributing to a proven track record of boosting patient engagement and operational efficiency. Passionate about leveraging analytical skills and leadership abilities to drive innovative healthcare solutions and improve patient experiences.

Overview

18
18
years of professional experience
3
3
Certifications

Work History

Patient Access Representative

Endeavor Health
05.2024 - Current
  • Manage patient requests via phone, ensuring accurate data entry in EPIC system
  • Coordinate appointments and procedures, enhancing scheduling efficiency
  • Verify insurance and inform patients of financial obligations, ensuring transparency
  • Promote online services, contributing to increased patient engagement
  • Maintain HIPAA compliance, safeguarding patient privacy
  • Manage patient requests across multiple departments, utilizing EPIC for data entry and adhering to HIPAA guidelines for privacy protection
  • Streamline appointment scheduling and insurance verification processes, enhancing patient experience and operational efficiency
  • Coordinate with clinical and administrative teams to route calls effectively, ensuring patients receive timely and appropriate care
  • Promote key initiatives and online services, driving patient engagement and adoption of digital health solutions
  • Adapt to departmental changes with flexibility, maintaining a positive attitude in a fast-paced healthcare environment
  • Meticulously manage insurance verification and patient financial counseling, enhancing transparency and operational efficiency

Non-Clinical Case Manager | Transition of Care

Evernorth (Cigna) Healthcare
01.2021 - 12.2024
  • Lead schedulers, optimize call flow, enhance service quality, and streamline operations
  • Analyzed call trends, improved conversion rates, and optimized resource allocation
  • Trained new hires, ensuring adherence to policies and efficient workflow integration
  • Optimized departmental coordination for effective delivery of home-based care.
  • Scheduled tele-health visits, maintaining accuracy in patient insurance updates
  • Led team of schedulers, optimized call center operations, and collaborated with stakeholders to enhance home-based care processes and meet performance metrics
  • Analyzed call center trends, staff productivity, and resource allocation to improve efficiency and customer service, resulting in measurable improvements
  • Developed and implemented standard operating procedures for new hires, streamlining on-boarding and ensuring consistent workflow practices
  • Managed patient enrollment in chronic care programs, coordinated tele-health visits, and resolved insurance eligibility issues, enhancing overall patient care
  • Identified process improvement opportunities, fostering a culture of continuous enhancement in team operations and interdepartmental collaboration
  • Optimized call center operations, enhancing efficiency and customer service
  • Implemented data-driven strategies, resulting in measurable improvements in conversion rates

Resource Planning Associate

Alegis Care
01.2020 - 12.2023
  • Placed 75 + outbound calls to potential patients daily
  • Took inbound calls daily from members returning the original call
  • Educated members of the Chronic Care Program to agree to a free benefit provided by their Medicare insurance and secure the scheduled visit
  • Communicated effectively with the department through email about provider’s schedule status, leads to call, and any daily assignments
  • Created a work relationship with assigned providers to communicate about schedules and perspectives
  • Served as the primary point of contact for designated providers
  • Made use of maps and the list of leads to decide where their provider will travel
  • Accessed various insurance portals to verify eligible members before outreach
  • Updated electronic medical records, specifically NextGen software
  • Met daily/ weekly/ monthly standards set for the department
  • Drove enrollment in Chronic Care Program through high-volume outreach, placing daily calls and securing scheduled visits for Medicare beneficiaries
  • Updated scheduling software
  • Became familiar with the scheduling software that is used and effectively schedule appointments for appointed providers, update patient demographics, and notate calls made to members
  • Fostered strong relationships with providers, coordinating schedules and serving as primary point of contact to optimize patient care delivery
  • Maintained accurate electronic medical records and scheduling software, ensuring up-to-date patient demographics and efficient appointment management
  • Leveraged mapping tools and lead lists to strategically plan provider travel routes, maximizing efficiency in patient outreach and care
  • Provided comprehensive education on Medicare insurance benefits, enhancing patient understanding and participation in the Chronic Care Program

Benefits Verification Specialist

Insight Global
06.2021 - 11.2021


Determined eligibility criteria for unemployment insurance claims at Illinois Department of Employment Security


Examined supporting documents such as paystubs, separation notices, and other relevant documentation to corroborate information provided by claimants and employers.


Input verified information into the IDES system, updating claimant and employer records to maintain accurate case details.


Investigated and resolved any inconsistencies or discrepancies found between claimant statements and employer records, potentially requiring further investigation and communication with both parties


Monitored for potential fraudulent claims by identifying patterns of inconsistencies or suspicious activity, reporting potential fraud cases to appropriate authorities


Assessed claimant eligibility based on verified employment information and state unemployment insurance guidelines


Managed a caseload of 45 assigned unemployment claims, tracking progress through the verification process, and ensuring timely resolution

Telephone Interviewer II

National Opinion Research Center
07.2015 - 06.2018
  • Conducted up to 60 outbound calls daily for children's vaccination research, enhancing data accuracy
  • Screened and interviewed respondents via CATI, ensuring high-quality data collection, improving response rates and data reliability
  • Delivered precise research findings to federal agency, supporting public health initiatives
  • Meticulously screened and interviewed respondents using field-tested questionnaires, ensuring high-quality data collection for crucial vaccination research
  • Worked seamlessly within a diverse call center team, sharing best practices and supporting colleagues to enhance overall research efficiency
  • Proposed and implemented process improvements, streamlining interview techniques to maximize respondent engagement and data quality
  • Checked immunization documentation with doctors' offices for accuracy.
  • Managed essential medical coding assignments effectively.
  • Processed documentation by phoning and faxing release of information departments throughout the country.

Optician

SEE Eyewear
02.2007 - 09.2008


  • Troubleshot issues with prescription eyewear, offering swift resolution to maintain customer satisfaction levels.
  • Filed claims with vision and medical insurance companies to garner payment for optical services
  • Set up attractive displays, shared current promotions, and offered excellent customer service to increase satisfaction.
  • Provided exceptional customer service by attentively listening to patient concerns and addressing them promptly.
  • Aided patients in selection of flattering eyeglass frames appropriate for prescription and style preferences.
  • Verified and updated patient records promptly to guarantee accurate prescription information.
  • Streamlined appointment scheduling by implementing an efficient system for booking eye exams and follow-up visits.
  • Conducted thorough frame adjustments to ensure optimal comfort, fit, and functionality for each customer.
  • Implemented effective merchandising strategies that showcased popular frame styles while remaining visually appealing to customers browsing in-store selections.
  • Suggested optional items such as lens coatings and lightweight lenses to improve patient experience with eyeglasses.
  • Collaborated with optometrists to develop tailored vision care plans, addressing each patient''s unique visual needs.
  • Measured patients' faces for bridge, eye size, and temple length to select comfortable frames.

Education

Associates - General Arts

Truman College
Chicago, IL

Associates - Creative Writing

Columbia College
Chicago, IL

Skills

Patient Care

Additional Information

Software


EPIC, NextGen, Tableau, Enrollment Engine, Access Management, Power BI, Workday, OMD time keeping, Tech Central, Cisco Finesse, Citrix, Arcadia Analytics, Excel, Outlook, Microsoft Word, Salesforce, CIC phone system.


  • Patient Care,Expert
  • Data Entry Scheduling, Expert
  • Insurance Verification, Skillful
  • HIPAA Compliance, Expert
  • Team Supervision, Experienced
  • Call Center Management, Experienced Process Improvement, Skillful
  • Customer Service, Expert
  • Electronic Medical Records, Experienced Project Management, Skillful
  • Data Analysis, Beginner

Software

EPIC

NextGen

Salesforce

Microsoft Word

Microsoft Excel

Citrix

Arcadia Analytics

Cisco Finesse

Certification

Foundations of Project Management : Google

Timeline

Patient Access Representative

Endeavor Health
05.2024 - Current

Benefits Verification Specialist

Insight Global
06.2021 - 11.2021

Non-Clinical Case Manager | Transition of Care

Evernorth (Cigna) Healthcare
01.2021 - 12.2024

Resource Planning Associate

Alegis Care
01.2020 - 12.2023

Telephone Interviewer II

National Opinion Research Center
07.2015 - 06.2018

Optician

SEE Eyewear
02.2007 - 09.2008

Associates - General Arts

Truman College

Associates - Creative Writing

Columbia College
VALERIE BARMOREHealthcare Advocate