Mario A. M. Hermosa
3021 N. 47th St.
Phoenix, AZ  85018
 [Send email to request phone number] 55-4262 Home
 [Send email to request phone number] 20-4392

Objective: To succesfully accomlish the task necessary as a means of achieving a
goal.

Qualifications: Fifteen years in the healthcare insurance industry in the areas
of claims, examining, customer service, and account follow-up.  Speak Spanish
fluently and have assisted the Hispanic community in problem areas of debt. 
Assisted patients to better understand their insurance plan for maximum benefit
utilization.  Knowledge in ICD-9-CM, HCPC's, and CPT coding guidelines. 
Knowledgeable in Office 2000, Winterm, IDX, along with other healthcare billing
systems.  Knowledge of CMS guidelines.  Knowledgeable with health insurance such
as HMO, PPO, Indemnity, Medicare, Medicare replacement plans, Indian Health, and
Arizona Medicaid(AHCCCS).  Customer service oriented, always trying to find a
solution to a customer's problem in hopes of achieving a solution to the problem.
 Research patient accounts for correct insurance payment and adjustment along
with correct posting of payment.  Assist with patient assistance through means of
hardship or through various healthcare or pharmaceutical companies with patient
assistant programs.  Assisted clients with employee enrollment and terminations. 
Have spoken to new employer groups during open enrollment.  Submitted grou
renewals to contracted brokers and agents.

Education: Associates in Business(Accounting), Chaparral College, Tucson, AZ,
12/20/91

Relevant Experiences:  

11/07-present: Medical Management Southwest, Phoenix, AZ; Medical Collections
Specialist.

10/06-07/07: Southwest Preferred Dental Organization, Phoenix, AZ; Account
Service Representative.

11/00-10/06: Arizona Oncology Associates, Tucson, AZ; Account Service
Representative.

07/00-11/00: EAI Healthcare Staffing Solutions, Inc., Tucson, AZ; Account
Follow-up Specialist.

01/00-06/00: Maryvale Hospital Medical Center, Phoenix, AZ; Account
Representative.