Rosemarie Ganesh
Port Saint Lucie,FL
Summary
Dynamic and detail-oriented professional with extensive experience as an Insurance Verification Specialist at Cornerstone/Pediatrics Health. Proven track record in resolving billing discrepancies and ensuring compliance with insurance guidelines. Proficient in electronic medical records and adept at fostering strong relationships with healthcare providers to enhance operational efficiency.
Overview
18
18
years of professional experience
Work History
Insurance Verification Specialist
Cornerstone/Pediatrica Health of Port St Lucie
Port Saint Lucie, Florida
02.2022 - 11.2025
- Verified medical insurance coverage for patients, maintaining accuracy and up-to-date information.
- Reviewed insurance policies and claims to assess eligibility and coverage limits.
- Determined necessity of pre-authorization by verifying patient eligibility and benefits coverage.
- Processed pre-authorization requests for medical procedures, ensuring compliance with insurance guidelines.
- Obtained essential documentation and clinical information from healthcare providers to facilitate pre-authorization requests.
- Collaborated with healthcare professionals to ensure proper documentation for timely reimbursement.
- Resolved billing discrepancies by coordinating with insurance providers and healthcare facilities to ensure accurate claims processing.
Medical Assistant
Vinyard Institute of Plastic Surgery
Port Saint Lucie, Florida
03.2021 - 02.2022
- Conducted follow-up appointments for post-operative and Botox patients, ensuring adherence to recovery protocols and enhancing patient satisfaction.
- Removed drains and sutures, addressing all post-operative care needs to promote optimal healing and patient comfort.
- Educate patient on all surgical & post operative care instructions and guidelines.
- Assisted doctor with patient needs, facilitating efficient care delivery and improving overall patient experience.
Medical Receptionist & Assistant
Delo Medical Associates
Port Saint Lucie, Florida
01.2016 - 03.2021
- Coordinated medical practice for 10 providers, improving patient scheduling and resource allocation.
- Scheduled appointments and verified insurance benefits to ensure seamless patient flow.
- Obtained necessary authorizations for procedures and testing to minimize delays.
- Collected copays and balances, ensuring accurate financial records and timely revenue flow.
- Utilized ECW systems for efficient patient management and documentation.
- Assisted with medical office procedures, resolving issues as they arose.
- Administered immunizations and injections, ensuring adherence to protocols.
- Oversaw laboratory processes, ensuring accurate testing, reporting, and compliance with protocols. and drug screen orders while communicating results effectively.
Office Manager
Moore Primary Care, LLC
Stuart, Florida
06.2013 - 08.2015
- Managed practice operations in fast-paced environment, promptly resolving issues to ensure smooth workflow.
- Scheduled appointments and verified insurance benefits efficiently.
- Collected copayments and outstanding balances, ensuring financial accuracy and compliance.
- Obtained necessary authorizations for procedures and testing to ensure compliance.
- Utilized Availity, Practice Fusion, and Epic systems for streamlined patient management.
- Coordinated lab communications and orders, adhering to insurance regulations for streamlined processes.
- Established and maintained office credentials with insurance companies to ensure compliance.
- Administered immunizations, injections, and performed phlebotomy and EKGs.
Medical Office Manager
Oceanside Physical Therapy
Stuart, Florida
09.2007 - 05.2013
- Scheduled appointments and secured authorizations to facilitate timely patient care.
- Collected copays and posted payments accurately.
- Managed benefit details and communicated financial responsibilities to enhance patient understanding.
- Entered patient information and emailed registration forms efficiently.
- Credentialed providers to ensure network inclusion.
- Prepared deposits by detaching and organizing documentation.
- Collected mail from PO box regularly to ensure timely processing. from PO box and entered data into system.
- Assisted patients on Alter G anti-gravity treadmill, fostering a supportive and encouraging office environment.
Education
Registered Medical Assistant - Medical Assisting
Mandhl College of Allied Health
New York (City), NY01.1997
Associate of Science - Health Sciences
New York University
New York (City), NY05.1995
High School Diploma -
Hillcrest High School
Queens, NY06.1993
Skills
- ECW and EPIC systems
- Microsoft Office Suite
- Administrative support
- Employee relations
- Medical terminology
- Acute care knowledge
- HIPAA compliance
- Basic life support
- Electronic medical records (EMR)
- Typing proficiency
- Appointment scheduling systems
- Practice management software
- Computer literacy
Timeline
Insurance Verification Specialist
Cornerstone/Pediatrica Health of Port St Lucie
02.2022 - 11.2025
Medical Assistant
Vinyard Institute of Plastic Surgery
03.2021 - 02.2022
Medical Receptionist & Assistant
Delo Medical Associates
01.2016 - 03.2021
Office Manager
Moore Primary Care, LLC
06.2013 - 08.2015
Medical Office Manager
Oceanside Physical Therapy
09.2007 - 05.2013
Registered Medical Assistant - Medical Assisting
Mandhl College of Allied Health
Associate of Science - Health Sciences
New York University
High School Diploma -
Hillcrest High School