Shanequia Monae
@shanequiamonae
I’m a remote Pharmacy Benefits Manager focused on prior authorization, patient support, and error reduction.
What I'm looking for
I’m a healthcare customer service professional with a strong background in pharmacy benefits management and patient support. In my current role as a remote Pharmacy Benefits Manager, I assist patients and healthcare providers with timely prior authorization status updates and verify eligibility and coverage for prescription medications.
I focus on high-volume service quality while maintaining accuracy in recordkeeping. I’ve streamlined data documentation processes to reduce errors by 15% while sustaining 95% accuracy, helping ensure smoother pharmacy transactions.
Before this, I built experience as a Customer Care Representative and Healthcare Billing Representative, resolving coverage discrepancies and billing inquiries, processing insurance claims, and supporting medical billing processes with compliance in mind. I bring strong de-escalation skills, medical terminology fluency, and disciplined CRM documentation to help customers quickly and professionally.
Experience
Work history, roles, and key accomplishments
Pharmacy Benefits Manager
Continuum Global Solutions
Jun 2021 - Present (5 years 1 month)
Provided timely prior authorization status updates and verified eligibility/coverage for prescription medications. Managed high-volume inbound calls and streamlined documentation to reduce errors by 15%.
Customer Care Representative
Concentrix
Jan 2020 - Jun 2021 (1 year 5 months)
Provided empathetic customer support for patients while maintaining 95% accuracy in recordkeeping. Handled inbound/outbound calls to resolve coverage discrepancies and billing inquiries, including insurance verification and claim support.
Healthcare Billing Representative
Pro Med
Apr 2018 - Jan 2020 (1 year 9 months)
Processed insurance claims by verifying benefits and prior authorizations, improving resolution speed by 20%. Supported medical billing workflows with compliance documentation in CRM systems.
Customer Support Representative
MedicareCheck
Aug 2015 - Apr 2018 (2 years 8 months)
Resolved challenging customer situations using de-escalation techniques to improve satisfaction scores. Managed multiple systems and provided front-line patient support for medication management and benefit eligibility inquiries.
Education
Degrees, certifications, and relevant coursework
Potterville High School
High school or equivalent, Secondary education
2014 -
High school or equivalent education at Potterville High School in Potterville, MI, beginning in 2014.
Availability
Location
Authorized to work in
Job categories
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