Open to opportunities

Daneija Richard

@daneijarichard

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Verification Specialist and Data Analyst combining customer service, CRM accuracy, and HIPAA compliance.

United States

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What I'm looking for

I’m looking for a role where I can use insurance verification and data analysis to prevent billing errors, improve customer outcomes through CRM-accurate communication, and work in a compliant (HIPAA) environment that values detail and continuous improvement.

I’m an Insurance Verification Specialist and Data Analyst with a proven 5+ year track record in high-volume customer service and administrative support. I manage end-to-end insurance verification to confirm patient eligibility and benefits, resolve coverage discrepancies with carriers and patients, and secure necessary authorizations while maintaining accurate, up-to-date records in compliance with HIPAA guidelines.

In remote and high-throughput environments, I’ve handled 60+ inbound inquiries daily, documented every interaction in CRM to protect customer satisfaction, and escalated technical issues efficiently. I also support operational consistency by training new remote hires and providing administrative coordination through data entry, file management, and staff schedule support.

Experience

Work history, roles, and key accomplishments

Current

Insurance Verification Specialist

Current

Baptist South Hospital

Mar 2024 - Present (2 years 4 months)

Managed end-to-end insurance verification to confirm patient eligibility and benefits prior to service delivery. Resolved coverage discrepancies with insurance carriers and patients and provided HIPAA-compliant administrative support.

Insurance Verification Patient Eligibility Coverage Discrepancy Resolution Patient Communication Administrative Support Data Entry File Management HIPAA compliance

Data Analyst

Continuum Global Solutions

Dec 2022 - Feb 2024 (1 year 2 months)

Handled 60+ inbound customer inquiries daily, resolving complex service issues and escalating technical problems as needed. Documented interactions in the CRM to support customer satisfaction and trained new remote hires on service protocols and system navigation.

Customer Escalation Remote Operations Time Management Self Motivation Training

Patient Account Representative

Walgreens

May 2018 - Dec 2022 (4 years 7 months)

Processed patient claims and managed patient account inquiries, including payment collection and issue resolution. Supported revenue cycle management by negotiating overdue balances, generating bills, and explaining insurance benefits and repayment plan options.

Revenue Cycle Management (RCM)Collections Overdue Balance Negotiation Billing