LINDA MICHELLE McCARTHY
Carbondale,IL
Summary
Detail-oriented professional with extensive experience in accounts receivable and insurance billing. Known for problem-solving capabilities and exceptional customer service. Aiming to leverage expertise in complex claims analysis and employee training to contribute to operational success.
Overview
41
41
years of professional experience
Work History
Accounts Receivable Specialist III
Currance Incorporated - Healthcare Revenue Cycle Business
Remote
10.2025 - Current
- Investigated payment discrepancies and claim denials by thoroughly examining EOBs and implementing necessary contractual adjustments.
- Analyzed and resolved high-volume, complex insurance claims, focusing on efficiency and accuracy in claims processing.
- Reviewed and submitted medical claims, adhering to state, federal, and payer-specific requirements to maintain operational integrity.
- Managed preparation and submission of first and second level appeals, focusing on complete documentation to maximize reimbursement outcomes.
- Achieved efficient management of electronic health records and workflow tracking in Cerner PowerChart, MedHost, and Artiva, effectively handling reroutes, denials, closures, and account adjustments. Contributed to team success by meeting and exceeding productivity and quality goals.
Insurance Services Representative
Mercy Hospital Southeast
Cape Girardeau, MO
09.2019 - 06.2025
- Coordinated resolution of patient concerns and facilitated insurance inquiries to ensure timely support.
- Performed comprehensive eligibility and benefit verification procedures, ensuring timely claim follow-up with various insurance plans.
- Executed formal appeal processes and communicated effectively with insurance companies and patients to resolve denial and coordination of benefits discrepancies.
- Provided clear, detailed documentation, resulting in more efficiency throughout the AR cycle.
- Oversaw the correction and reprocessing of initial and secondary claims in SSI billing system to maintain compliance and accuracy.
- Identified and obtained critical medical records necessary for enhancing appeal outcomes.
- Implemented required adjustments to accounts and accurately transferred balances to designated entities.
- Analyzed overpayment cases from initial investigation to final resolution, maintaining compliance and accuracy throughout.
- Trained new employees, ensuring effective onboarding and skill enhancement.
Customer Service Representative
Soft Surroundings
Maryland Heights, MO
02.2017 - 07.2019
- Analyzed and resolved customer inquiries and issues promptly, ensuring a positive customer experience.
- Monitored and recorded orders through specialized software, maintaining accuracy and efficiency in operations.
- Evaluated inventory levels and suggested appropriate alternative products to enhance customer satisfaction.
- Consistently performed in the top 10% of sales team, emphasizing dedication to enhancing customer satisfaction.
Family Manager
Intentional Career Break
Kirkwood, MO
11.1999 - 01.2017
Accounts Receivable Billing Specialist
Accounts Receivable Options, Inc Kansas City, MO
Work Assignment - DePaul Hospital Bridgeton, MO
04.1994 - 10.1999
- Monitored overdue insurance claims, facilitating filing and follow-up actions to expedite claim processing.
- Analyzed and addressed billing discrepancies with insurance companies, enhancing client satisfaction and operational efficiency.
- Reviewed explanation of benefits (EOB) to accurately post payments and adjustments, maintaining financial integrity.
Quality Assurance Rep / Claims Processor
Prudential Insurance Company of America
Chesterfield, MO
10.1988 - 03.1994
- Oversaw quality assurance processes for insurance documentation, ensuring adherence to standards and proper claim resolutions.
- Assisted in identifying process inefficiencies. Supported implementation of corrective measures to enhance operational workflows. Collaborated with supervisors to improve quality within the claim processing unit.
- Analyzed claims processing procedures through thorough audits to validate precision and conformity with established company policies.
- Reviewed and analyzed medical claims, contributing to quality assurance initiatives and facilitating advancement to the quality assurance department.
- Consistently delivered results that exceeded productivity and quality standards, driving overall performance improvements.
Registered Medical Assistant
Argyrios A Tsifutis, MD, Washington University
Bridgeton, MO
06.1985 - 10.1988
- Safely administered vaccinations and medications to patients, ensuring compliance with physician guidelines.
- Verified insurance information while overseeing appointment scheduling and maintaining comprehensive patient records.
- Conducted thorough cleaning and preparation of examination rooms, facilitating a welcoming environment for patients.
- Delivered clear and effective guidance to patients on treatment plans and medication usage, ensuring clarity and adherence to prescribed protocols.
- Collaborated with pediatrician to perform numerous in-office procedures, ensuring adherence to best practices and patient safety standards.
- Achieved efficient patient checkups through accurate vital signs collection and thorough initial workups. Improved safety protocols by implementing effective sterilization of instruments. Enhanced pediatric care by supporting house lab operations and optimizing inventory management. Strengthened financial accuracy by balancing payment ledgers and fostering clear communication with patients' parents and pharmacies.
- Recorded call details and assessed urgency levels to facilitate prompt response and customer support.
Education
Medical Assisting Front And Back Office
Bryan Institute North - Technical School
Bridgeton03-1985
Skills
- Accounts receivable analysis
- Detailed payment reconciliation
- Insurance Billing with Coding Knowledge
- Managing Appeals and Denials
- COB
- Microsoft Word (Word, Excel, SharePoint, Outlook)
- EHR Systems & SSI Platform
- Medical Records Handling
- Multi-line Phones and Scheduling
- Problem Solving, Investigative, and Analytical Skills
- Customer Service
- Training & Mentorship
Timeline
Accounts Receivable Specialist III
Currance Incorporated - Healthcare Revenue Cycle Business
10.2025 - Current
Insurance Services Representative
Mercy Hospital Southeast
09.2019 - 06.2025
Customer Service Representative
Soft Surroundings
02.2017 - 07.2019
Family Manager
Intentional Career Break
11.1999 - 01.2017
Accounts Receivable Billing Specialist
Accounts Receivable Options, Inc Kansas City, MO
04.1994 - 10.1999
Quality Assurance Rep / Claims Processor
Prudential Insurance Company of America
10.1988 - 03.1994
Registered Medical Assistant
Argyrios A Tsifutis, MD, Washington University
06.1985 - 10.1988
Medical Assisting Front And Back Office
Bryan Institute North - Technical School