
Payal Rajput
@payalrajput
I improve healthcare operations through quality audits, process compliance, and data-driven business analysis.
What I'm looking for
I'm currently improving quality and compliance in US healthcare operations at Access Healthcare, where I audit high-volume medical record retrieval cases and identify documentation discrepancies, process gaps, and compliance risks.
Previously at I Energizer, I managed prior authorization requests for workers’ compensation radiology services, collaborated with insurance adjusters, and trained new team members on authorization workflows. I was recognized through the RNR program for exceptional performance.
Across more than four years in operations, I’ve built experience in quality assurance, documentation review, customer support, and process improvement. I’m pursuing a Business Analyst career and developing practical skills in requirements gathering, BRD, FRD, user stories, BPMN, UML, Agile, SQL, Power BI, and data visualization.
Experience
Work history, roles, and key accomplishments
• Performed comprehensive quality audits on high-volume medical record retrieval cases, including large and complex files, to ensure accuracy and process compliance.
• Ensured compliance with HIPAA guidelines while reviewing and auditing sensitive medical records.
• Identified documentation discrepancies, process gaps, and compliance risks, implementing corrective measures to maintain establishe
• Managed prior authorization requests for workers’ compensation radiology services, including CT and MRI procedures, ensuring accurate documentation and timely processing.
• Collaborated closely with insurance adjusters to obtain approvals, verify case requirements, and minimize delays or claim denials.
• Maintained high levels of accuracy and productivity while effectively handling multiple ca
• Managed outbound communication for employee healthcare and wellness services, providing detailed guidance on preventive health check-ups and wellness programs for HCL employees.
• Assisted employees with information related to diagnostic tests, health assessments, and available healthcare benefits while ensuring clear and professional interaction.
• Coordinated and scheduled medical appointmen
Health and well-being
Career Break
Jan 2021 - Dec 2021 (11 months)
Worked as Health and well-being at Career Break.
• Resolved customer inquiries related to EMI schedules, payment processing, and account support with professionalism and accuracy.
• Coordinated proactive follow-ups and payment reminders for upcoming and overdue EMI installments to support timely collections.
• Maintained detailed records of customer interactions and payment activities, ensuring accurate tracking and improved service efficiency
Education
Degrees, certifications, and relevant coursework
Delhi University
Bachelor of Arts, Educational/Instructional Technology
RSKV
High School Diploma
University of Delhi
Bachelor of Arts
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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