Laytona D. Durio
Porter,TX
Summary
Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Pharmacy Service Representative (CVS Campaign)
Teleperformance USA
07.2023 - Current
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Educated customers about billing, payment processing and support policies and procedures.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
- Coordinated verification and filling of more than 100 daily prescriptions in high-volume CVS pharmacy environment
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy
Social Services Specialist
Texas Department Of Health And Human Services Commission
03.2018 - 07.2021
- Communicated with people from various cultures and backgrounds on application process.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Facilitated information and resource exchanges with external agencies to progress client applications.
- Devised and implemented strategies to streamline eligibility verification processes.
- Cultivated positive, trusting relationships with clients and community providers to promote effective coordination of resources.
- Managed over 65 calls per day
Senior Patient Care Representative
HCA Medical Center Of Houston
07.2018 - 06.2021
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Entered patient demographic and insurance data into electronic medical record system.
- Managed over 50 customer calls per day
- Educated clients about health insurance coverage options, benefits and costs.
- Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Insurance Verification Specialist
Cypress Fairbanks Medical Center Hospital
06.2013 - 11.2015
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Updated patient records with accurate, current insurance policy information.
- Established and maintained relationships with insurance providers for productive communications.
- Answered phone calls and messages for 50+ physician at Cypress Fairbanks medical facility, scheduling appointments, and handling patient inquiries
Education
Associate of Applied Science - Psychology
Lone Star College System
Conroe, TX05.2017
Skills
- Computer Billing Systems
- Prescription Review
- HIPAA Regulations
- Microsoft Office
- High-Volume Environments
- Regulatory Documentation
- Prescription Refills
- Electronic Authorization Processing
- Referral Coordination
- Medical Records Verification
- Insurance Terminology
- Equipment Troubleshooting and Maintenance
Certification
- Licensed Chemical Dependency Intern (CI) - 2023
Timeline
Pharmacy Service Representative (CVS Campaign)
Teleperformance USA
07.2023 - Current
Senior Patient Care Representative
HCA Medical Center Of Houston
07.2018 - 06.2021
Social Services Specialist
Texas Department Of Health And Human Services Commission
03.2018 - 07.2021
Insurance Verification Specialist
Cypress Fairbanks Medical Center Hospital
06.2013 - 11.2015
Associate of Applied Science - Psychology
Lone Star College System
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