Anthony Zuniga
@anthonyzuniga
Medical Billing Specialist focused on accurate payment posting and denial resolution.
What I'm looking for
I’m a motivated medical billing professional who brings positive energy, attention to detail, and a strong work mindset to every team. I’m passionate about learning and growing—I adapt quickly, learn new processes fast, and consistently deliver great results in fast-paced environments.
In my current role as a Medical Billing Specialist at Credit Balance & Payment Posting (Connect International | University of Pennsylvania Medical Center), I handle 40 claims daily while meeting productivity and accuracy targets. I reduced resolution accounts AHT time by identifying provider denial trends, and I manage credit balance accounts to ensure accurate payment posting.
I also specialize in end-to-end follow-up work: resolving COB cases, reviewing payer correspondence, and submitting reconsiderations and appeals on web portals such as Availity, Conex, One-Source, and Navinet. Previously, I supported insurance eligibility calls and follow-up to denied claims, transitioned from registration (Tebra) into full RCM responsibilities, and served as a UnitedHealthcare (UHC) Eligibility Team Lead—supporting prior authorization workflows, PDP plan management, complex cases, and escalations.
Experience
Work history, roles, and key accomplishments
Medical Billing Specialist
Connect International
May 2025 - Present (1 year 2 months)
Handled credit balance and payment posting work for ~40 claims daily at University of Pennsylvania Medical Center, meeting productivity and accuracy targets. Reduced resolution AHT time by identifying provider denial trends and managed COB cases, payer correspondence, and reconsiderations/appeals using portals including Availity, Conex, One-Source, and Navinet.
Medical Coding Assistant
Allied Pain and Spine Medical Center
Apr 2024 - May 2025 (1 year 1 month)
Coded and followed up on denied claims, managing up to 60 claims daily to improve reimbursement timelines. Performed up to 70 B2B eligibility calls daily with insurance providers and transitioned from registration (Tebra) into full RCM responsibilities.
Served as Eligibility Team Lead after being promoted to SME and team lead based on performance. Supported prior authorization workflows and PDP plan management, handling complex cases and escalations to improve team accuracy and workflow efficiency.
Education
Degrees, certifications, and relevant coursework
Universidad Central Americana (UCA)
Bachelor of Psychology, Psychology
2020 - 2025
Pursued a bachelor’s degree in Psychology with a motivation to help people.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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