Iris Miranda Email & Phone Number

United States

Dedicated TRICARE Liaison with expertise in patient advocacy, healthcare coordination, and customer service. Skilled in assisting TRICARE beneficiaries with understanding and accessing their benefits, resolving claims issues, and navigating healthcare services. Strong communicator with a deep understanding of military culture and a commitment to ensuring seamless, compliant healthcare delivery. Proven ability to educate and support military families while maintaining accurate documentation and upholding TRICARE policies.

Seatle, Wa

Key Skills:• Provided community resources helpline for a national nonprofit organization for Older adults and caregiver.• Analyzed requirements and ensured compliance to all legislations.• Evaluated all resources prior to customers call and prepared all documents necessary to redirect the call.• Maintain integrity of all data collected for protection of private and sensitive information through standard processes.• Adhered to a high degree of trust, objectivity, and confidentiality with clients, families as well as with staff.• Answered telephone calls from persons in need of services using a prepared script.• Assist customers in distress to get to a shelter, food or medical care.• Provided resources to a project for Covid-19 and immunization schedule.• Recorded Spanish organization messages for the hotline and help with translation for non-English speaker customers.• Help with training for new process to team.

Fort Buchanan, Guaynabo, Pr

• Key Skills: Contract Administration, Recruited and Screen qualified potential employees, Team Leadership, verified, Office Administration, Research, Reporting, Microsoft Office Suite, HIPAA Compliance.• Lead, manage, and oversee a team of seven members in the day-to-day operation of the TRICARE Overseas Program (TOP) in Puerto Rico, Virgin Island and Guantanamo Cuba. Maximized team knowledge and productivity by effectively training, monitoring, and directing employees in applications of the best practice and regulations of the government benefit contract. Selected Contributions:• Mentor and guide employees ensuring all are trained in product knowledge and capable of performing assigned duties.• Negotiate with customer on site and manage implementations and ongoing relationships.• Determine program discrepancies and advise leadership within TOP of corrective actions.• Act as liaison with the TRICARE Regional offices and beneficiaries.

Pacific Region-Japan, Guam And South Korea

• Key Skills: Contract Administration, Military Benefits, Team Leadership, Document Management, Communications, Office Administration, Document Control, Research, Reporting, Microsoft Office Suite, HIPAA Compliance• Served as liaison for TRICARE Overseas Prime (TOP) beneficiary population of over 15k military service members and their family, providing medical benefits, education, and issues tracking. Maintained confidentiality and ensured that information met the standards and requirement established by partnering organizations. Researched and interpreted benefits, policies, and procedures to the community of remote site points of contact, and other resources. Maintained electronic system, paper files, and data integrity. Collected, processed, retrieved, and disseminated transfer information to support the TRICARE active duty portability process.• Mentor and lead employees ensuring all are trained in product knowledge and capable of performing assigned duties.

Yokosuka, Kanagawa

Key Skills: Records Administration, Document Management, Business Correspondence, Typing, Filing, Report Generation, Office Equipment, Database ManagementPerformed a variety of medical administrative clerical office functions, medical records support services to maintain patient medical records. Performed medical records functions such as analysis, compiling data, retrieving and reviewing medical records to determine completeness and internal consistency of the record, and the presence of all required forms and signatures. Organized records in the proper medical format using from number and treatment dates and reviewed all medical documents, including referrals. Resolved administrative problems by gathering and analyzing data to identify and implement solutions. as meetings, scheduling conference room, and department activities.Selected Contributions:• Operated and manipulated automated systems such as DoD Health System as CHCS and access medical information under HIPAA regulations.• Retrieved medical consultation data from CHCS and AHLTA. • Worked under NDAA (2009) regulations, clinic procedures and policies. • Prepared monthly reports and briefed executives, Commanders, and Providers of changes of benefits and claim process.

Oceanside, California, United States

Key Skills: Office Administration, Database, Correspondence, Accounts Receivable, Document Filing, Phone Coverage, Calendar Maintenance, Planning, and Scheduling, Customer ServiceOrganized and coordinated office administration and procedures, in order to ensure exceptional patient care service, organizational effectiveness, efficiency, and safety. Handled a wide range of administrative and executive support related tasks and able to work independently with little direct supervision. Managed and maintained schedules, appointments, meeting coordination, invoicing, and medical documents. Monitored, screened, distributed, and responded to incoming communications, including answering phones and managing incoming calls. Selected Contributions:• Compiled and analyzed financial data to support practice accountant.• Performed administrative support to help executive in managing refunds.• Performed a variety of office support duties, including scheduling appointments, covering telephone calls, and greeting patients.• Prepared monthly collection activity reports and office expenses such as utilities and office supplies.• Filed insurance claims and handled request from insurance companies.• Developed and maintained patient confirmation no-show policies, decreasing no-shows rates by 75%.

Ejd, Law

Master'S Degree, Business Administration And Management, General

Bachelor’S Degree, Business Administration And Management, General