Summary
Overview
Work History
Education
Skills
Timeline
Generic

Elsie McGuffey

Baton Rouge

Summary

Financial counselor with extensive experience in patient financial management and insurance verification at Hematology Oncology Clinic. Demonstrated success in enhancing cash flow through effective payment negotiation and analytical skills. Recognized for delivering exceptional customer service and maintaining compliance and accuracy in billing processes.

Overview

18
18
years of professional experience

Work History

Financial Counselor

Hematology Oncology Clinic
Baton Rouge
10.2022 - Current
  • Responsible for monitoring and collecting the financial responsibility of the patients.
  • Keep patient’s insurance benefits up to date in Onco EMR, G4, and Centricity.
  • View patient’s services for diagnosis and insurance coverage appropriateness.
  • Perform daily tasks of building, approving and answer Manage Cares.
  • Submit authorizations are diagnostic tests/imaging and medications.

ITS SR Claims Adjustment Processor

Blue Cross Blue Shield of Louisiana
Baton Rouge
12.2013 - Current
  • Adjusted Facet and XC claims to ensure accurate payments.
  • Processed special reports as assigned by supervisors.
  • Answered and dispatched 06s during task execution and edits.
  • Responded to general inquiries and sent responses when required.
  • Reviewed postings to guarantee DFs are submitted by next business day when necessary.

Neurology/Physiatry Billing Clerk

The Neuromedical Center
Baton Rouge
04.2007 - 12.2013
  • Initiated and updated accounts for new/established patients within the facility.
  • Managed and coded tests such as EEG’s, Sleep Studies and many others with the proper billable ICD- 9 and CPT codes.
  • Transferred all hospital visits, diagnosis’ and patients demographics onto their billing face sheets, forward all billing face sheets to the designated department so the charges can be keyed into the system once the patients has been discharged from the Hospital.

Education

Human Resources Management Certificate -

University of Phoenix
10-2024

Medical Billing/Coding Specialist Diploma -

Delta College of Arts and Technology
07.2006

Medical Assistant Diploma -

Remington College
05.2000

Skills

  • Employee training
  • Payroll administration
  • Data entry
  • Medical coding
  • Regulatory compliance
  • Customer service
  • Attention to detail
  • Critical thinking
  • Time management
  • Professional relationship building
  • Patient counseling
  • Payment negotiation
  • Telephone etiquette
  • Insurance verification
  • Effective customer communication
  • Investment strategies
  • Cash flow management
  • Financial counseling
  • Multitasking and organization
  • Problem-solving
  • Verbal and written communication

Timeline

Financial Counselor

Hematology Oncology Clinic
10.2022 - Current

ITS SR Claims Adjustment Processor

Blue Cross Blue Shield of Louisiana
12.2013 - Current

Neurology/Physiatry Billing Clerk

The Neuromedical Center
04.2007 - 12.2013

Human Resources Management Certificate -

University of Phoenix

Medical Billing/Coding Specialist Diploma -

Delta College of Arts and Technology

Medical Assistant Diploma -

Remington College

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