Naomi Nunez
Haverhill,MA
Summary
Dedicated professional with 12 years of experience, ranging from a call center customer service representative to a disability claims analyst/team leader. Eager to apply medical billing and coding education, along with excellent communication and problem-solving skills, to a medical billing role.
Overview
19
19
years of professional experience
Work History
ESP/Technology Lab Instructor
Haverhill Public Schools
11.2023 - Current
- Trained students in grades K-4 in basic computer skills and troubleshooting techniques, as well as strategies for using technology to improve their learning.
- Collaborated with other teachers to develop and implement shared technology lessons and activities.
Medical Billing Volunteer Internship
Lawrence General Hospital
09.2023 - 10.2023
- Assisted in filing appeals for denied claims and provided quality control to eliminate errors before electronic submission.
- Reconciled credit balance accounts, including identification and refund processes to ensure accurate payments on patients’ accounts.
Student Ambassador Assistant
Northern Essex Community College
08.2020 - 12.2022
- Mentored fellow ambassadors on caseload and task management during weekly meetings.
- Worked with students through various communication methods to connect them with college resources to increase their success.
- Student engagement increased by 30%.
Regional Claim Center Lead
Sun Life Financial
10.2013 - 05.2019
- Oversaw two teams of eight examiners.
- Monitored claims to ensure quality assurance and service level agreements were consistently met for clients.
- Tracked the status of claims and monitored the production of team members.
- Provided training and mentoring to new hires and seasoned staff to solve problems and reduce error rates.
- Represented Sun Life as the subject matter expert in claims processing with new business.
Short Term Disability Examiner
Sun Life Financial
11.2010 - 10.2013
- Managed an ongoing pipeline of short-term disability claims for group benefit policyholders.
- Collaborated with the internal clinical department and vocational staff, as well as employers, to ensure the claimant had a successful return to work.
- Reviewed medical records, job descriptions, and contracts to ensure fair claims adjudications for employers.
Customer Service Representative
Sun Life Financial
01.2007 - 11.2010
- Responded to inquiries regarding the status of claims and policy updates from claimants and policyholders.
- I developed proficiency in dental, disability, life, and accidental death and dismemberment product lines.
Education
Medical Billing & Coding Certificate -
Northern Essex Community College
Haverhill07.2024
Associate of Applied Science - Paralegal Studies
Kaplan University
Davenport, IA06.2008
Skills
- Medical Terminology
- Insurance Contracts
- Appeals
- EOBs
- Quality Control
- Proficient in Microsoft Office
- Knowledge of ICD9/10 Codes
- CPT codes
Languages
English
Native or Bilingual
Spanish
Full Professional
Timeline
ESP/Technology Lab Instructor
Haverhill Public Schools
11.2023 - Current
Medical Billing Volunteer Internship
Lawrence General Hospital
09.2023 - 10.2023
Student Ambassador Assistant
Northern Essex Community College
08.2020 - 12.2022
Regional Claim Center Lead
Sun Life Financial
10.2013 - 05.2019
Short Term Disability Examiner
Sun Life Financial
11.2010 - 10.2013
Customer Service Representative
Sun Life Financial
01.2007 - 11.2010
Medical Billing & Coding Certificate -
Northern Essex Community College
Associate of Applied Science - Paralegal Studies
Kaplan University
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