Monika Shekhawat
Jaipur
Summary
Detail-oriented Process Specialist with a strong focus on prior authorization management, patient advocacy, and regulatory compliance. Proven ability to resolve complex issues and ensure timely access to necessary treatments. .
Overview
5
5
years of professional experience
Work History
Process Specialist
Knack Global
Chandigarh
03.2025 - 02.2026
- Managed the complete prior authorization process for various medical procedures and medications, ensuring adherence to health plan protocols and regulatory standards.
- Reviewed clinical documentation and authorization requests for accuracy and completeness, collaborating with healthcare providers to obtain necessary information.
- Submitted prior authorization requests to insurers via phone, fax, and electronic health record (EHR) systems, tracking progress to ensure timely approvals.
- Resolved complex authorization denials and discrepancies by coordinating with physicians and insurance companies, advocating for patients to secure timely access to treatment.
- Maintained accurate and comprehensive records of all authorization activities and patient interactions, ensuring compliance with HIPAA regulations.
- Utilized knowledge of medical terminology and CPT/ICD-10 coding to ensure all documentation was accurate and complete for billing purposes.
Debt Management Specialist
DS Associate
Jaipur
06.2021 - 01.2025
- Communicated with creditors to negotiate favorable payment terms for clients.
- Maintained accurate client records in the debt management system efficiently.
- Provided ongoing support to clients throughout their debt resolution process.
- Prepared monthly statements summarizing payments made by clients.
- Responded promptly to customer inquiries regarding account status or payment issues.
- Maintained detailed records of all client interactions and transactions.
- Provided advice on how to improve credit scores and avoid future debt accumulation.
Education
Master of Arts - Art
Delhi Univercity
New Delhi06-2019
Bachelor of Arts - Art
Delhi Univercity
New Delhi05-2017
Skills
- Prior authorization
- Medical coding
- EHR systems
- Regulatory compliance
- Clinical documentation
- Patient advocacy
- Insurance coordination
- problem solving
- Data entry
- debt negotiation
- Team collaboration
Timeline
Process Specialist
Knack Global
03.2025 - 02.2026
Debt Management Specialist
DS Associate
06.2021 - 01.2025
Master of Arts - Art
Delhi Univercity
Bachelor of Arts - Art
Delhi Univercity