Natisha Cancel Izquierdo
Cape Coral
Summary
Healthcare insurance professional with experience supporting TRICARE beneficiaries, active-duty service members, veterans, and healthcare providers. Skilled in claims review, insurance verification, referrals, authorizations, enrollment, billing support, and issue resolution. Experienced working with healthcare policies, provider networks, and member accounts while maintaining HIPAA compliance. Seeking a Medical Billing & Collections Specialist role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Customer Service Representative
TriWest Healthcare Alliance
08.2023 - Current
- Review medical claims and assist members and providers with claim status, reimbursement inquiries, and billing-related issues.
- Research and resolve claim discrepancies while ensuring compliance with TRICARE policies.
- Process referrals and prior authorizations for medical services.
- Verify member eligibility, insurance benefits, and healthcare coverage.
- Assist active-duty service members with enrollment and Primary Care Manager (PCM) assignments.
- Coordinate with providers and internal departments to resolve claims and billing concerns.
- Document account activity while maintaining HIPAA compliance.
- Manage a high volume of inbound calls while meeting quality standards.
- Educate members and providers regarding benefits, coverage, referrals, and authorizations.
- Utilize multiple healthcare systems to research claims and member accounts.
Personal Care Aide
Consumer Directed Personal Assistance Program (CDPAP)
02.2020 - 08.2023
- Assisted clients with daily living activities, maintained documentation, collaborated with healthcare professionals, and followed infection control and confidentiality standards.
Home Health Aide
Caring Professionals Inc.
01.2017 - 01.2020
- Provided personal care, monitored patient conditions, documented changes, and maintained accurate patient records.
Education
Associate of Arts - Liberal Arts
Hostos Community College
Skills
- Medical Claims Review
- Medical Billing Support
- Medical Collections
- Accounts Receivable Support
- Insurance Verification
- Claims Resolution
- Referrals & Prior Authorizations
- Enrollment Processing
- Billing Issue Resolution
- HIPAA Compliance
- Medical Terminology
- Microsoft Office
- Data Entry
- Customer Service
- Bilingual (English & Spanish)
Certification
Home Health Aide License (Active)
Languages
Spanish
Full Professional
Timeline
Customer Service Representative
TriWest Healthcare Alliance
08.2023 - Current
Personal Care Aide
Consumer Directed Personal Assistance Program (CDPAP)
02.2020 - 08.2023
Home Health Aide
Caring Professionals Inc.
01.2017 - 01.2020
Associate of Arts - Liberal Arts
Hostos Community College