Cristen Isley

Experience

• 

  National HealthCare Corporation (NHC)

  Aug 2013 - Feb 2016

  Recreation Assistant

  •Requires a personable people person, the ability to interact with patients and staff in a positive and professional manner.•Responsible for holding daily leisure activities (bingo, crafts, exercise, cooking activities, parties, etc.•Very flexible and have complete team work with entire recreation team.•Responsible for maintaining state records and paperwork to ensure that department is statecertified.

• 

  Community Health Systems

  Feb 2016 - Sept 2016

  Call Center Representative

  •Make outbound calls to customers by utilizing the Auto-dialer to collect the balance after insurance by credit card or check over the phone, set up payment arrangements, or encourage the customer to send payment to the hospital.•Receive incoming calls from customers.•Analyze customer accounts to assist with questions.•Effectively communicate with customers, teammates, and management.•Work as a team, assisting others as needed.•Strictly abide by HIPAA.

• 

  Maury Regional Health

  Sept 2016 - May 2020

  Ensures patients have been cleared for specialty service office visits. Resolves precertification, registration, and case-related concerns before a patient's appointment. Referral Specialist gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to ensure the patient's financial obligations for services provided.Provides support to clinical staff to facilitate the administrative components of clinical referrals for various services.Additionally, Referral Specialist acts as a liaison between hospitals, physicians, health plans, vendors, patients, or other referral sources.Verifies insurance coverage and obtains authorizations if needed from insurance coverage.Enters referrals and documents communications, actions, and other data in an informationsystem. Show less •Working knowledge of office equipment and computers, Medicare, TennCare, healthcare insurance payment methodologies, and financial assistance policies and procedures.•General knowledge of hospital payment plan guidelines, hospital clinical departments and service protocols and healthcare coding practices.•Strong negotiation and collection skills.•Create a positive impression for each patient, family member, visitor or staff while performing the tasks of pre-admitting, admitting and/or registering, routing or escorting patients, family or visitors.•Register patients to receive medical services, ensuring accuracy and timeliness. •Obtain demographic information, validate insurance, and collect payments.•Answer and/or refer questions received from patients, visitors, and staff. Show less •Working knowledge of office equipment and computers, Medicare, TennCare, healthcare insurance payment methodologies, and financial assistance policies and procedures.•General knowledge of hospital payment plan guidelines, hospital clinical departments and service protocols and healthcare coding practices.•Strong negotiation and collection skills.•Create a positive impression for each patient, family member, visitor or staff while performing the tasks of pre-admitting, admitting and/or registering, routing or escorting patients, family or visitors.•Register patients to receive medical services, ensuring accuracy and timeliness. •Obtain demographic information, validate insurance, and collect payments.•Answer and/or refer questions received from patients, visitors, and staff. Show less

  • Referral Specialist

    Aug 2018 - May 2020

  • Medical Registrar

    May 2017 - Aug 2018

  • Patient Service Representative

    Sept 2016 - May 2017
• 

  National HealthCare Corporation (NHC)

  May 2020 - May 2021

  Medical Records Assistant

  Assist the Health Information Manager with clerical and other duties to establish medical record-keeping practices.Provided excellent service to patients and providers.File important documents, medical records, and slips. Process admission and dischargerecords.Maintain patient files. Maintain HIPAA.

• 

  Maury Regional Health

  Jun 2021 - now

  Health Insurance Specialist

  The Collection Specialist is responsible for daily follow up on paper and electronic claims including resolution of any billing errors, claims resubmission, or escalation.Ensures that patient accounts are properly and completely documented with Insurance information and all other pertinent information.Escalation of payer issues to management for various payers.Establishes and maintains online resources used in handling claims.