Wayne Darrington
Las Vegas,NV
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
17
17
years of professional experience
Work History
Patient Financial Navigator
Elevance Health - BioPlus Specialty Pharmacy
01.2024 - Current
- Utilize strong understanding of insurance and billing processes to assist patients in understanding and maximizing their benefits while managing at least 50 incoming calls and emails per day from members.
- Work closely with healthcare providers and insurance companies to obtain necessary authorizations and approvals for medications.
- Review and verify 75% of insurance coverage for medications and communicate any discrepancies or issues to patients and providers.
- Assist patients in applying for financial assistance programs and grants to help cover cost of medications.
- Maintain patient confidentiality and adhere to all HIPAA regulations.
- Educate patients on their financial responsibility for medications and work with them to create payment plans if needed.
Logistics Financial Specialist
UPS
05.2021 - 01.2024
- Collaborated with cross-functional teams to develop strategic plans aligned with overall company objectives.
- Ensured compliance with regulatory standards by conducting regular audits and implementing necessary corrective actions.
- Coordinated incoming and outgoing shipments to maintain schedules.
Corporate Account Manager
FedEx
03.2008 - 05.2021
- Developed strong relationships with key clients, leading to increased revenue and repeat business.
- Streamlined sales processes and improved efficiency by utilizing CRM tools effectively and consistently updating client information.
- Mentored junior sales team members, sharing best practices and coaching them towards achieving their individual targets.
- Previous positions held: Coordinator (2008-2009), Lead Coordinator (2009-2010), Assistant Manager (2010-2012), Business Manager (2012-2016), Account Executive (2016-2018)
Education
Bachelor of Science - Finance - TBD
University of Nevada, Las Vegas
Las Vegas, NV05.2026
Skills
- Medical Billing
- HIPAA Compliance
- Claims Processing
- Insurance Verification
- Financial Assistance
- Implementation and Administration
- Group Outreach
Timeline
Patient Financial Navigator
Elevance Health - BioPlus Specialty Pharmacy
01.2024 - Current
Logistics Financial Specialist
UPS
05.2021 - 01.2024
Corporate Account Manager
FedEx
03.2008 - 05.2021
Bachelor of Science - Finance - TBD
University of Nevada, Las Vegas
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