John Angelo Fresnoza

🟢 Availability: Always Ready to Deliver Excellence

🌟 A Proven Healthcare Expert with a Flair for Excellence

I bring over 5 years of valuable experience in the US healthcare industry. In my previous role, I was promoted to a Subject Matter Expert, where I led a team of 10 agents. My responsibilities included auditing calls, assisting in process optimization, daily claims adjustment monitoring, and even stepping into the role of an escalation supervisor.

My expertise extends to various facets of healthcare administration, including verifying member eligibility and benefits, scrutinizing facility and professional claims, providing authorization status, and conducting grievance and appeals reviews.

💼 Skills and Qualifications:

✅ Subject Matter Expert: Proven leadership in the healthcare industry.

✅ Claims Processing: Adept in managing claims with precision.

✅ Team Leadership: Skilled at leading and mentoring teams.

✅ Eligibility and Benefits: Proficient in verifying member coverage.

✅ Claims Review: Experienced in evaluating claims accuracy.

✅ Effective Communication: Clear, concise, and informative.

✅ Tech-Savvy: Proficient in a wide array of software tools.

🤝 A Commitment to Excellence

My approach to work is simple yet profound—I always ensure to deliver top results. Consistency and dedication are at the core of my work ethic. Your success is my ultimate goal.

🎯 Unique Qualities

I bring a unique blend of leadership, audit expertise, and a keen eye for details, all wrapped in a commitment to excellence.

🛠️ Proficient with a Comprehensive Suite of Tools and Software:

• Google Suite

• Microsoft Office

• Social Media Platforms

• HIPAA Compliance

• ICD-10 Coding

• Provider Portals

• And more!

I firmly believe that in every task, no matter how big or small, there's room for excellence. Excellence is not an act; it's a habit. Let's embark on a journey of success together!