Thitthida Rhoades Email & Phone Number

Greater San Diego Area

San Diego, California

• Responsible for all EDI transactions 837P, 837I, 276, 277, 270, 271, 835.
• Participates in the testing process of new software or system upgrades
• Responsible for reporting on EDI transaction volumes, and EDI reconciliation processes
• Creating SOP’s and workflows.
• Responsible for updating and adding Providers into database based on credentialing
• Trading partner enrollments and validating EDI files.

San Diego, California

• Performed authorization request from providers.
• Utilize various software systems to determine eligibility.
• Provide excellent customer service to patients and providers.
• Utilize different software to research and determine eligibility.
• Answer phone calls for offices, hospitals, and patients using exemplary customer service skills
• Accurately enter required information into computer database

Loma Linda, California

• Meticulously tracked and resolved underpayments and overpayments.
• Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
• Performed quality control of the data entry system to verify that claims encounters and payments were posted correctly.
• Billed all lab claims with attached lab slips.
• Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
• Thoroughly investigated past due invoices and minimized number of unpaid accounts.

San Dimas, California

• Remain up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
• Performed quality control of the data entry system to verify, that claims and payments were posted correctly.
• Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
• Billed multiple Physician clinics, thoroughly investigated past due invoices and minimized number of unpaid accounts.
• Recorded and filed patient data and medical records.