Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Affiliations
Timeline
Generic

Traci Rhodes

Pittsburgh,PA

Summary

Looking for a position that will allow me to utilize my skills as well as promote room for growth.

Overview

12
12
years of professional experience
1
1
Certification

Work History

DME Fitter/PCT/PCA

AHN/Emerus
Pittsburgh, Pennsylvania
07.2024 - Current

Service Hospital and Clinic patients with Durable Medical Equipment for at home care. Fit Braces, Walkers, Wheelchairs, Canes, Crutches, etc. Review order and procedure codes for accurate billing. Preform blood draws, EKGs scans, Lead placement, vitals, BGMs, Bladder Scans, etc. Assist with bathing, and daily needs as neccessary. Report changes to nursing staff, ensuring timely medical intervention.

Residential House Manager

AVIDCARE365
Pittsburgh, Pennsylvania
10.2024 - 12.2025

Managed care for autistic residents. Supervised daily operations to ensure high-quality care and compliance with state regulations.

  • Supervised daily operations in residential settings for individuals with special needs.
  • Coordinated care plans with families and healthcare professionals for residents.
  • Managed staff schedules and trained new employees in caregiving procedures.

Registered Behavior Technician

ATTAIN ABA
Pittsburgh, Pennsylvania
06.2024 - 08.2025

Collected and analyzed data on client progress to ensure adherence to therapy goals. Collaborate with multidisciplinary teams to enhance care strategies. Conduct regular assessments to adjust interventions. Assist Board Certified Behavior Analyst in designing personalized treatment plans.

Prior Authorization Specialist/DME Manager

Cigna/Evicore
Indianapolis, Indiana
10.2022 - 06.2025

Evaluated prior authorization request to ensure compliance with policy guidelines verifying procedure codes for billing. Collaborated with healthcare providers to gather necessary documents for approvals and correct coding for less denials. Managed a high volume of calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.

Coordinator/Home Health Aide

Friends At Home Care
Indianapolis, Indiana
07.2021 - 10.2022

Coordinated care plans for clients ensuring alignment with individual needs and preferences. Collaborate with healthcare providers to facilitate seamless communication and service delivery. Trained new hire on best practices, client care, and documentation standards.

Direct Support Professional

QRL Residential Services
Indianapolis, Indiana
06.2021 - 10.2022

Provide personalized care to individuals with Autisim. Fostering independence and enhancing daily living skills. Monitoring resident behaviors, documenting observations, to inform adjustments in care strategies and support methods.

Patient Care Technician

UPMC Mercy Hospital
Pittsburgh, Pennsylvania
06.2020 - 05.2021

Provided direct patient care, maintained accurate patient records using EHR systems for seamless communication. Performed blood draws, EKGs, and other diagnostic test accurately and efficiently for prompt analysis. Assist nurse with essential task streamlining workflow.

Home Health Aide

Emerald Home Health
Pittsburgh, Pennsylvania
01.2014 - 06.2020
  • Serviced clients in an at home setting. Assisted with daily living by providing compassionate care and mobility support. Monitored and documented clients' health status, reporting changes as they occurred.

BILLING/Coding and Billing Specialist

Westbrook Pharmacy & Surgical Supply
Pittsburgh, Pennsylvania
12.2017 - 06.2019

Set up new customers in billing system, verify DME coverage, measure and fit patients for equipment. Process and verify insurance claims, procedure codes and modifiers to ensure accurate billing. Work denied claims.

Education

Registered Behavior Technician

Kadient Learning Center
Pittsburgh
07-2025

Patient Care Technician

EIC/ UPMC
Pittsburgh, PA
06-2020

Medical Billing/Coding

Institute of Medical Careers
08-2014

Pre-Health

CCAC
Pittsburgh, PA
09-2012

GED -

Taylor Allderdice High School
Pittsburgh, PA
05-1988

Skills

Case Management

Prior Authorizations

Insurance Verification

Billing processes

Documentation Review

ICD-9, ICD-10

Behavioral Health

HIPPA

Certification

  • Medical Billing/ Coding

Accomplishments

  • PCT certificate

Affiliations

  • Registered Behavior Technician RBT

Timeline

Residential House Manager

AVIDCARE365
10.2024 - 12.2025

DME Fitter/PCT/PCA

AHN/Emerus
07.2024 - Current

Registered Behavior Technician

ATTAIN ABA
06.2024 - 08.2025

Prior Authorization Specialist/DME Manager

Cigna/Evicore
10.2022 - 06.2025

Coordinator/Home Health Aide

Friends At Home Care
07.2021 - 10.2022

Direct Support Professional

QRL Residential Services
06.2021 - 10.2022

Patient Care Technician

UPMC Mercy Hospital
06.2020 - 05.2021

BILLING/Coding and Billing Specialist

Westbrook Pharmacy & Surgical Supply
12.2017 - 06.2019

Home Health Aide

Emerald Home Health
01.2014 - 06.2020

Registered Behavior Technician

Kadient Learning Center

Patient Care Technician

EIC/ UPMC

Medical Billing/Coding

Institute of Medical Careers

Pre-Health

CCAC

GED -

Taylor Allderdice High School
Traci Rhodes