WAYNE A. DARRINGTON II
Las Vegas,NV
Summary
Dynamic results driven leader with 15+ years of a proven track record excelling in customer service, sales, management and healthcare. Demonstrates exceptional conflict resolution skills and a commitment to excellence, achieving significant SOP/QIP goals. A motivated team player dedicated to the growth of a company while striving to achieve the highest level of service excellence.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Patient Financial Navigator
BioPlus Specialty Pharmacy/ Elevance Health
02.2024 - Current
- Reviewed patients medical chart, insurance and co pay support/pharmaceutical manufacturer programs to process claims.
- Collaborated with internal peers, patients, physicians and payors providing necessary information required for claim processing.
- Coordinated closely with clinical teams to verify services rendered, ensuring accurate billing and reimbursement for all provided care.
- Acted as a liaison between the billing and collection departments to assist in resolving financial assistance matters, conducting thorough audits of patient accounts and identifying discrepancies.
- Stayed current with Federal, State, HIPAA and contractual regulations regarding copay assistance and manufacturer programs.
- Educated patients on available resources, payment options, and insurance benefits to promote informed decision making.
- Achieved 87% of overall SOP/QIP goals such as exceptional member support, concierge, workflow management, and time/attendance.
- Increased efficiency by 92% in the financial clearance process by implementing standardized procedures for collecting required documentation from patients.
S.M.A.R.T. Specialist
UPS Capital
05.2021 - 02.2024
- Conducted regular reviews of logistics operations and identified areas that impact overall client experience.
- Interacted with clients in a multi-channel environment verbally to ensure exceptional engagement is achieved.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
- Served as direct point of contact for internal employees for domestic and international shipments within UPS local book of business clients such as: Tesla, Rivian Automotive, Daniel's Jewelers, and Toyota.
- Assisted in increasing member's engagement into appropriate programs and offerings by 77%.
Lead Account Executive
WebMD Health Services
01.2020 - 05.2021
- Responsible for selling WebMD Care and Vitals.com online physician directory listing space to medical practices across the country.
- Boosted client satisfaction by developing and maintaining strong relationships through effective communication.
- Consulted with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas by 96%.
- Conducted regular check-ins with existing clients to assess their needs and identify upselling opportunities.
- Recorded at least 70 accurate and efficient interactions daily in Salesforce, Excel, Outlook, and Word.
Corporate Account Manager (On-Campus)
FedEx Office
08.2016 - 01.2020
- Managed open communication between administration, faculty, staff, and students through regular meetings and forums for any shipping/printing related needs.
- Gathered quotes, and assisted in project management for individual department needs
- Oversaw comprehensive marketing campaigns that raised awareness of FedEx Office offerings
- Reduced energy consumption on campus by 67% through implementation of sustainable practices and initiatives.
- Organized and allocated print and shipping resources required to meet needs of 23 schools and academic divisions on-campus.
Business Center Manager
FedEx Office
04.2012 - 08.2016
- Supervised at least 15 team members on workflow evaluations, promotions, learning/development, time/attendance and disciplinary actions.
- Increased customer service satisfaction by promptly addressing concerns and providing exceptional customer service.
- Assisted in recruiting, hiring and training of team members.
- Implemented innovative programs to increase employee loyalty by 15% and reduced turnover by 44%.
Customer Service Specialist
FedEx Office
03.2008 - 04.2012
- Maintained inventory levels, ordering supplies as needed to prevent project delays due to lack of materials.
- Coordinated logistical aspects of large-scale print projects such as shipping arrangements and billing information.
- Participated in cross-functional teams to develop creative solutions for complex print challenges.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Education
Bachelor of Science - TBD
University of Nevada, Las Vegas
Las Vegas, NVAssociate of Science - Business Management
El Camino College
Torrance, CA05-2012
Skills
- Healthcare Expertise
- HIPAA Compliance
- Claims Processing
- Insurance Verification
- Central Solutions
- Client Services/Customer Service
- Financial Assistance/ Manufacturer Pharmaceutical Programs
- Conflict resolution skills
- Microsoft Word, Excel, Powerpoint, Outlook
- CRM, Salesforce, ERX, CPS, Genesys, IRIS, Kronos, UKG, Solution Central, Carelink
- 75 WPM/ 6,240 Net KPH
Accomplishments
- Earned the “Purple Promise - FedEx Office” Award in 2016 for exceptional client support
- Contributed to the SMART program at UPS Capital through Microsoft Excel spreadsheets by developing shipping conflicts/insurance management pivot table tools.
- Won the " AE Physician Enhancer of the Quarter" award with WebMD IN 2020
Certification
Business Management, FedEx (2012)
Inclusion and Diversity Training, FedEx (2014)
Leadership Development Program Certifications FedEx (2018)
HIPAA Compliance Training, BioPlus Specialty Pharmacy (2024)
OSHA Training BioPlus Specialty Pharmacy, (2024)
Leading Healthcare Quality and Safety, Coursera (2024)
Languages
English
Native or Bilingual
Timeline
Patient Financial Navigator
BioPlus Specialty Pharmacy/ Elevance Health
02.2024 - Current
S.M.A.R.T. Specialist
UPS Capital
05.2021 - 02.2024
Lead Account Executive
WebMD Health Services
01.2020 - 05.2021
Corporate Account Manager (On-Campus)
FedEx Office
08.2016 - 01.2020
Business Center Manager
FedEx Office
04.2012 - 08.2016
Customer Service Specialist
FedEx Office
03.2008 - 04.2012
Bachelor of Science - TBD
University of Nevada, Las Vegas
Associate of Science - Business Management
El Camino College
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