Linda Gates

5154 Dream Court (916) 747-3691

Sacramento, CA 95842 lgcbbfa8@westpost.net
OBJECTIVE: Tenured healthcare professional seeking a medical office/company rel
ated to medical insurance that will allow me to utilize current and past skills.
SUMMARY OF QUALIFICATIONS:
AR experience, both receivables and insurance, including electronic billing for
Medicare and all insurances in an optometry setting
Reviewed and worked current and past denials on incorrect/unpaid claims
Performed payment/denials according to error codes and indicators on Medicare/M
edi-Cal claims, utilizing live-link on-line guidelines in a call center setting
Demonstrated advance knowledge of Tricare Insurance
Performed monthly progress reports, according to Medicare and Medi-Cal guidelin
es in the home healthcare system
Researched and resolved insurance company and patient calls on charge and servi
ce issues
Efficiently contacted Workers Compensation, private pay, and Medicare insurance
companies to verify patient insurance eligibility; authorized procedures accord
ing to office protocol
Experienced with principles, conventions and purposes of ICD-9 codes, structure
and functions of CPT-5 codes, HCPCS, CMS 1500 forms, and auditing procedures
Recommendations to staff and doctors on specific coding issues for optimum reim
bursement
TECHNICAL SKILLS:
Type: 46 wpm
Microsoft Suite 2003 and 2007: (Word, Excel, Access, Outlook, Publisher and Po
werPoint)
Argon Pharmacy software, HIQS medical software programs, Medical Office Managem
ent,
Office Mate EMR system, and CAMMIS.
EDUCATION:
Medical Insurance Billing and Coding, Diploma - Heald College, Roseville, CA
August 2009
4.0 GPA, Distinguished Academic Achievement Heald Award
Perfect Attendance Awards
HIPAA Certification
Relevant Coursework - Reimbursement Methodologies, Disease Pathology, Pharmacoth
erapy, Diagnostic/Procedural Coding, Healthcare Records and Medical Terminology
80 Hours Externship Completed - Aesyntix Billing Solutions, Roseville, CA
August 2009
- Researched and posted payment/nonpayment verification for various doctor accou
nts
- Scanned payments, co-pays, and superbills into office computer systems
Professional Coder Certification September 2009
Medical Software Specialist program- Bryan College, Gold River, CA June
2005
4.0 GPA
Relevant Coursework Medical Transcription, Medisoft program for medical billing
and coding exercises, Medical terminology, Keyboarding and Data Entry, Computer
programs such as Microsoft Word, Excel, Access, Powerpoint and Publishing, and
Anatomy and Physiology.
Associate Degree program for Healthcare- Cerritos College, Norwalk, CA Ma
y 1985
3.0 GPA
Relevant Coursework General education, Microbiology and labs, Anatomy and Physi
ology and labs, Ethics, Medical terminology and Documentation.
Linda Gates Page 2 September 29, 2
010

WORK HISTORY:
Medical Biller-Eyecenter Optometric, Citrus Heights, CA 06/
2010-09/2010
Corporate Recoveries Validator- Spherion Staffing, Sacramento, CA 12/2009
- 03/2010
Claims Examiner Spherion Staffing, Sacramento, CA
09/2009 -11/2009
Insurance Agent - Pennsylvania Life Insurance Company, Sacramento, CA 05/
2007 - 11/2007
Collections Assistant - Pacific Staffing, Sacramento, CA 02
/2007 - 03/2007
Medical Records Assistant - Surgery Scheduler, Roger B. Stephens 12/2006
-12/2006
Authorization Rep - PriMed Consulting Management, Sacramento, CA
02/2006 - 04/2006 Supervisor - Maxim Home Healthcare, Sacramento, CA
12/2003 - 07/2004
Healthcare Finder - Health Net Federal Services, Rancho Cordova, CA
11/2002 - 08/2003
Healthcare Rep - Kaiser Permanente Call Center, Sacramento, CA 08/1998
-05/2002

PROFESSIONAL ASSOCIATIONS:
American Academy of Professional Coders Membership, 2009