miraj shuriye
@mirajshuriye
I manage TRICARE authorizations, referrals, eligibility, and provider coordination.
United KingdomWhat I'm looking for
At International SOS, I manage end-to-end prior authorization and referral requests for TRICARE beneficiaries, from reviewing clinical documentation to final determination and payer follow-up.
I verify eligibility, benefits, coverage requirements, and referral criteria while coordinating with providers, specialists, and healthcare facilities to secure required documentation. I maintain detailed case records, respond to patients and healthcare professionals, and train new team members.
My healthcare background also includes complex-needs support, paediatric nursing support, public health testing, and confidential data collection. I bring experience in case management, compliance, healthcare administration, and patient-focused service.
Experience
Work history, roles, and key accomplishments
TRICARE Senior Authorization & Referral Executive
International SOS
Jul 2023 - Present (3 years 1 month)
Managed end-to-end prior authorization and referral requests for TRICARE beneficiaries, including eligibility verification, clinical documentation review, and coordination with providers. Trained and supported new team members.
Healthcare Support Worker
Team Support Services
Apr 2017 - Jul 2023 (6 years 3 months)
Delivered person-centered care for individuals with complex needs and maintained accurate healthcare documentation. Worked closely with multidisciplinary teams and families.
COVID-19 Site Officer
REED
Jul 2022 - Feb 2023 (7 months)
Managed testing administration systems and registrations, verified patient information, and provided frontline customer support.
COVID-19 Tester
SSGC Ltd
Feb 2021 - Apr 2022 (1 year 2 months)
Administered tests following public health guidance and supported efficient workflows and public-facing services.
Census Field Officer
Office for National Statistics
Mar 2021 - May 2021 (2 months)
Collected and recorded sensitive demographic data while maintaining confidentiality and regulatory compliance.
Student Nurse
Imperial College Healthcare NHS Trust
Nov 2014 - Jul 2016 (1 year 8 months)
Supported paediatric nursing teams and patient care, working collaboratively with multidisciplinary healthcare professionals.
Education
Degrees, certifications, and relevant coursework
University of West London
Bachelor of Science, Health Promotion and Public Health
Grade: First Class Honours
BSc (Hons) Health Promotion and Public Health, First Class Honours.
King's College London
Certificate of Higher Education, Health Studies / Children's Nursing
Certificate of Higher Education in Health Studies / BSc Children's Nursing.
East Berkshire College
BTEC Level 3 Extended Diploma, Health & Social Care
Grade: Triple Distinction*
BTEC Level 3 Extended Diploma in Health & Social Care (Triple Distinction*).
Tech stack
Software and tools used professionally
Availability
Location
United KingdomAuthorized to work in
Job categories
Skills
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