ELINA VALERIO-TRONCOSO
MASSAPEQUA PARK,US
Summary
Healthcare Management Professional with extensive experience in medical administration and patient care. Specializes in surgical coordination, insurance verification, and optimizing operational workflows to enhance patient satisfaction. Bilingual communicator dedicated to advancing healthcare delivery through effective scheduling and innovative strategies.
Overview
22
22
years of professional experience
Work History
Procedural Billing Specialist
Mount Sinai hospital orthopedics
New York, New York
04.2025 - Current
- Managed insurance claims submissions and follow-ups, ensuring timely reimbursements.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Process and verify patient billing statements for orthopedic services.
- Coordinate with healthcare providers to resolve billing discrepancies.
- Collaborated with finance teams to reconcile accounts and resolve billing discrepancies.
- Investigated billing discrepancies and processed refunds to maintain accurate accounts.
- Communicate with patients regarding billing inquiries and payment options.
- Worked closely with patients to discuss payment arrangements when needed.
- Worked with team members to identify and develop process improvements.
LEAD ADMINISTRATIVE ASSISTANT / SURGICAL COORDINATOR
Mount Sinai Spine Center
New York, US
03.2015 - Current
- Streamline surgical scheduling workflow by coordinating patient appointments, insurance verifications, and pre-operative documentation while maintaining detailed case records.
- Coordinate surgery schedules and logistics, ensuring timely patient communication.
- Guide patients on pre-op protocols, improving preparedness and satisfaction.
- Facilitated communication among surgical teams, patients, and insurance providers while coordinating pre-operative testing and facility arrangements.
- Verify insurance and manage authorizations, enhancing billing accuracy.
- Streamlined insurance authorization processes and maintained accurate billing records while managing complex scheduling across multiple surgical facilities.
- Document case status and update records, ensuring comprehensive patient files.
- Developed advanced scheduling protocols that improved surgical workflow, integrating multi-facility coordination and optimizing resources.
MEDICAL ASSISTANT
Mount Sinai Medical Center
New York, US
10.2012 - 03.2015
- Obtained vital signs, EKG, phlebotomy, spirometry, urine dipstick, urine culture, pregnancy testing, and stool culture testing to support accurate patient assessments.
- Assisted doctors with insulin administration and pump therapy to ensure effective patient management.
- Downloaded glucometers and insulin pumps for doctors to facilitate timely treatment decisions.
- Facilitated effective teamwork with physicians and colleagues in point-of-care testing to improve diagnostic accuracy.
- Applied strong decision-making and organizational skills to efficiently manage patient care tasks.
- Prepared and supported fine needle aspiration procedures to facilitate effective diagnostic testing.
MEDICAL ASSISTANT
Internal Medicine/Gastroenterology/Pain Management
Forest Hills, US
12.2010 - 10.2012
- Obtained vital signs, EKG, Phlebotomy, spirometry, fingerstick for blood sugar, urine dipstick, urine culture, pregnancy testing, stool culture testing, and Urea breath testing.
- Identified physical symptoms and changes, implementing appropriate actions to address patient needs.
- Assisted physician during endoscopic procedures by doing polypectomy and biopsy.
- Operated and managed endoscopic equipment safely, ensuring compliance with guidelines and manufacturer's instructions.
- Knowledgeable with medications and how to administer the indications.
- Supported team and peers with professional and clinical practices, enhancing overall care delivery.
- Filing, scheduling appointments, answering the telephone, faxing medical records, speaking to insurance companies, providing CPT codes, and obtaining pre-authorizations.
PHARMACY TECHNICIAN
Elmhurst Drug Center
Elmhurst, US
01.2004 - 01.2007
- Prepared medications for clients by mixing, counting pills, and labeling bottles, ensuring accuracy for pharmacist's review.
- Managed narcotic inventory, ensuring compliance with regulations and maintaining accurate records.
- Maintained long term patient files accurately.
- Communicated with the administrative personnel, nurses, and physicians.
- Prepare insurance claim forms.
- Processed invoices for payment, facilitating timely transactions.
Education
ASSOCIATE IN HEALTHCARE MANAGEMENT - BUSINESS ADMINISTRATION
CUNY LaGuardia Community College
MEDICAL ASSISTANT CERTIFICATE -
Allen School
PHARMACY TECHNICIAN CERTIFICATE -
NY Hospital Medical Center of Queens
REGENT'S DIPLOMA -
The Mary Louis Academy
Skills
- Billing Procedures
- Medical Coding
- CPT codes
- Patient billing
- EPIC
- IDX
- Patient Care
- Clinical Procedures
- Patient Scheduling
- Claims Processing
- Phlebotomy
- Revenue Cycle Management
- Patient Engagement
- Claim Denial Resolution
- Bilingual Spanish
- Effective communication
- Documentation accuracy
- Customer relationship management
Languages
- Spanish, Native
Timeline
Procedural Billing Specialist
Mount Sinai hospital orthopedics
04.2025 - Current
LEAD ADMINISTRATIVE ASSISTANT / SURGICAL COORDINATOR
Mount Sinai Spine Center
03.2015 - Current
MEDICAL ASSISTANT
Mount Sinai Medical Center
10.2012 - 03.2015
MEDICAL ASSISTANT
Internal Medicine/Gastroenterology/Pain Management
12.2010 - 10.2012
PHARMACY TECHNICIAN
Elmhurst Drug Center
01.2004 - 01.2007
ASSOCIATE IN HEALTHCARE MANAGEMENT - BUSINESS ADMINISTRATION
CUNY LaGuardia Community College
MEDICAL ASSISTANT CERTIFICATE -
Allen School
PHARMACY TECHNICIAN CERTIFICATE -
NY Hospital Medical Center of Queens
REGENT'S DIPLOMA -
The Mary Louis Academy