Rosemarie Ganesh
Summary
Dynamic and detail-oriented professional with extensive experience as a Medical Assistant, patient relations representative, authorizations and Insurance Verification specialist with a multitude of Strategic leadership with 20+ years of experience driving operational excellence across customer service, healthcare, and education sectors. Expert in leading cross-functional teams, managing programs, and aligning operations to organizational growth. Strong background in CRM systems, budgeting, compliance, and client success. Proven record in launching, scaling, and optimizing service-driven organizations.
Overview
18
18
years of professional experience
Work History
Insurance Verification Specialist
Cornerstone/Pediatrica Health of Port St Lucie
Port Saint Lucie, Florida
01.2022 - 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
02.2021 - 01.2022
- 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
12.2015 - 02.2021
- 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
05.2013 - 07.2015
- 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
08.2007 - 04.2013
- 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
1 1997
Associate of Science - Health Sciences
New York University
5 1995
High School Diploma -
Hillcrest High School
6 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
01.2022 - 11.2025
Medical Assistant
Vinyard Institute of Plastic Surgery
02.2021 - 01.2022
Medical Receptionist & Assistant
Delo Medical Associates
12.2015 - 02.2021
Office Manager
Moore Primary Care, LLC
05.2013 - 07.2015
Medical Office Manager
Oceanside Physical Therapy
08.2007 - 04.2013
Registered Medical Assistant - Medical Assisting
Mandhl College of Allied Health
Associate of Science - Health Sciences
New York University
High School Diploma -
Hillcrest High School