Summary
Overview
Work History
Education
Skills
Timeline
Generic

SHAWNIQUA RASBERRY

Rocky Mount,USA

Summary

Detail-oriented Healthcare & Insurance Professional with 5+ years of experience supporting patients, providers, members, and healthcare operations through insurance verification, claims support, billing, scheduling, documentation, and customer service. Proven ability to maintain compliance, resolve complex issues, and support positive patient and member experiences in fast-paced healthcare environments. Skilled in healthcare systems, insurance processes, documentation management, and workflow coordination.

Overview

5
5
years of professional experience

Work History

Remote Patient Service Representative II

Sutter Health
01.2026 - Current
  • Assist with scheduling follow-up appointments, lab work, and tests or procedures through Epic/EMR systems according to provider availability.
  • Verify benefits for 75+ patients weekly while maintaining 99% accuracy.
  • Assist patients with insurance, billing, and account inquiries to enhance understanding and resolution of concerns.
  • Resolve insurance discrepancies resulting in faster claim processing.
  • Process high-volume patient documentation while consistently meeting productivity standards.
  • Coordinate referrals, authorizations, and follow-up appointments with clinic teams.
  • Update electronic health records and appointment details in scheduling systems.

Healthcare Insurance Specialist

CleanSlate Recovery Center
03.2024 - 01.2026
  • Verified insurance eligibility, benefits, and coverage requirements for patients and members.
  • Processed claims and authorizations accurately, facilitating timely reimbursements and efficient patient care.
  • Assisted patients and providers with billing, claims, coverage, and reimbursement inquiries.
  • Maintained HIPAA compliance and accurate documentation within healthcare EHR/EMR systems.
  • Collaborated with internal departments to resolve insurance, billing, and claims-related issues.

Health Records Specialist

Advocate Aurora Health
05.2021 - 03.2024
  • Maintained accurate, complete, and organized electronic and/or paper health records.
  • Receive and fulfilled requests from patients, providers, insurance companies, attorneys, and other authorized parties.
  • Confirmed that requests have the appropriate patient consent, authorization, or legal documentation before releasing information.
  • Securely disclosed medical records while following HIPAA, organizational policies, and applicable laws.
  • Uploaded incoming medical documents into the correct patient chart and ensured documents are categorized properly.
  • Identified missing, incomplete, duplicated, or incorrectly filed information and route issues for correction.

Education

High School Diploma -

Ralph L. Fike High School
Wilson, NC, USA

Skills

  • Appointment Scheduling
  • Insurance Verification
  • Prior Authorizations
  • Claims Processing
  • Electronic Health Records (EHR/EMR)
  • Referral coordination
  • Problem solving
  • Patient Intake / Registration
  • Data Entry Accuracy
  • Patient Access
  • Care Coordination
  • Healthcare Administration
  • Medical Documentation
  • HIPAA Compliance

Timeline

Remote Patient Service Representative II

Sutter Health
01.2026 - Current

Healthcare Insurance Specialist

CleanSlate Recovery Center
03.2024 - 01.2026

Health Records Specialist

Advocate Aurora Health
05.2021 - 03.2024

High School Diploma -

Ralph L. Fike High School
SHAWNIQUA RASBERRY