THERESA A. GONZAGA VIDALS
YONKERS
Summary
Highly experienced healthcare administrative professional with over 25 years of service in a major healthcare system. Specialized in referrals coordination, insurance authorizations, and patient care support across internal and specialty medicine. Extensive knowledge of Medicaid, Medicare, and commercial insurance processes. Proven ability to independently manage complex, high-volume workflows with accuracy and efficiency. Seeking advancement into a senior-level administrative or specialized role within a union environment.
Overview
26
26
years of professional experience
Work History
5C Senior Clerk – Referrals & Authorizations
MONTEFIORE MEDICAL CENTER – CFCC
BRONX
01.2013 - Current
- Manage complex referrals and insurance authorizations for internal and specialty medicine
- Process prior authorizations for medications, DME, CGMs, and enteral nutrition
- Utilize multiple insurance portals to submit, track, and resolve cases
- Coordinate patient scheduling and care tied to approvals
- Serve as liaison between patients, providers, and insurance companies
5C Senior Clerk – Data Entry / Billing Support
MONTEFIORE MEDICAL CENTER – CFCC
BRONX
01.2010 - 01.2013
- Processed patient encounters for billing and ensured documentation accuracy
- Maintained detailed electronic records supporting revenue cycle operations
- Performed high-volume data entry within EMR systems
5C Senior Clerk
MONTEFIORE MEDICAL CENTER – CFCC
BRONX
01.2005 - Current
- Provided administrative and clerical support in a clinical setting
- Assisted with patient scheduling, documentation, and office workflow
4C PSR / Medical Records Clerk
MONTEFIORE MEDICAL CENTER – CFCC
BRONX
08.2000 - Current
- Managed medical records including filing, scanning, and release of information
- Supported front-end patient services and administrative operations
Education
Certified Medical Terminology And Anatomy - Certified in Medical Terminology And Anatomy
1199 National Benefit Fund Training/Upgrading
The Bronx, NY06-2003
Certified Secretary/Administrative Assistant -
Grace Business Institute
New York, NY06-1994
High School Diploma -
St. Barnabas H.S
The Bronx, NY06-1993
Skills
- Prior Authorizations
- Referral Coordination
- Medicaid Expertise
- Medicare Expertise
- Commercial Insurance Expertise
- Insurance Portals
- EMR Systems
- Patient Scheduling
- Care Coordination
- Medical Records Processing
- Billing Support
- Compliance
- Data Entry
- Microsoft Word
- Patient Communication
- Provider Communication
- Problem-Solving
- Healthcare compliance
- Effective communication
Languages
Spanish
Professional
Timeline
5C Senior Clerk – Referrals & Authorizations
MONTEFIORE MEDICAL CENTER – CFCC
01.2013 - Current
5C Senior Clerk – Data Entry / Billing Support
MONTEFIORE MEDICAL CENTER – CFCC
01.2010 - 01.2013
5C Senior Clerk
MONTEFIORE MEDICAL CENTER – CFCC
01.2005 - Current
4C PSR / Medical Records Clerk
MONTEFIORE MEDICAL CENTER – CFCC
08.2000 - Current
Certified Medical Terminology And Anatomy - Certified in Medical Terminology And Anatomy
1199 National Benefit Fund Training/Upgrading
Certified Secretary/Administrative Assistant -
Grace Business Institute
High School Diploma -
St. Barnabas H.S