Brandi Cayless
Compton,CA
Summary
Dedicated Medical Billing & Coding Specialist seeking a long-term role in healthcare administration. Skilled in accurate coding, insurance verification, and claim processing. Motivated to grow professionally and increase earning potential while supporting patients and providers.
Certified Medical Billing & Coding graduate with internship experience in a prosthetics clinic. Strong knowledge of ICD-10, CPT, HCPCS, claim submission, denial follow-up, and EHR systems. Brings over 10 years of customer service, administrative experience, and fast, accurate documentation skills.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Billing & Coding Intern – Prosthetics Department
University of Antelope Valley / Local Clinic
02.2015 - 06.2015
- - Coded prosthetic and orthotic services using ICD-10, CPT, and HCPCS.
- - Submitted claims to Medicare, Medi-Cal, and private insurance.
- - Assisted with denials, corrections, and resubmissions.
- - Verified eligibility and authorization requirements.
- - Entered patient demographics and documentation in EHR systems.
- - Followed HIPAA and compliance guidelines.
Insurance Follow-Up Representative
Acclara Solutions LLC
06.2022 - 06.2024
- - Managed accounts using EPIC to maximize reimbursements and ensure accurate claim processing.
- - Investigated and resolved payer rejections and denials, navigating appeals in compliance with payer contracts.
- - Conducted systematic and timely follow-up on accounts to achieve full resolution of outstanding balances.
- - Reviewed payer correspondence, edits, and aged accounts receivable, identifying and correcting billing errors to reduce claim rejections.
- - Resolved unpaid and underpaid claims, supporting collections efforts and improving client revenue flow.
- - Maintained accurate documentation and reporting to ensure compliance with insurance regulations and client policies.
Receptionist / Front Desk Coordinator
The Hair Ward
01.2018 - 01.2020
- - Managed scheduling, check-ins, and client communication.
- - Handled payments and maintained accurate daily records.
- - Supported a high-volume front desk.
Cosmetologist / Independent Stylist
01.2007 - Current
- - Maintain client records, scheduling, and payments.
- - Provide professional hair services and client consultations.
- - Manage inventory, supplies, and business operations.
Education
Medical Billing & Coding Certification - undefined
University of Antelope Valley
01.2015
Cosmetology Program - undefined
WBI
01.2010
High School Diploma - undefined
R. Rex Parris High School
01.2007
Skills
- ICD-10
- CPT
- HCPCS
- Insurance Verification
- Claim Submission
- Medicare/Medi-Cal
- Denial Management
- Prior Authorizations
- EHR
- HIPAA Compliance
- Payment Posting
- Multi-Line Phones
- Office Administration
- High-Volume Customer Service
- Data Entry
Certification
Medical billing and coding certification
TECHNICAL SKILLS
- Epic
- Kareo
- AdvancedMD
- Microsoft Office
- Digital Billing Systems
- 10-Key
Timeline
Insurance Follow-Up Representative
Acclara Solutions LLC
06.2022 - 06.2024
Receptionist / Front Desk Coordinator
The Hair Ward
01.2018 - 01.2020
Medical Billing & Coding Intern – Prosthetics Department
University of Antelope Valley / Local Clinic
02.2015 - 06.2015
Cosmetologist / Independent Stylist
01.2007 - Current
Medical Billing & Coding Certification - undefined
University of Antelope Valley
Cosmetology Program - undefined
WBI
High School Diploma - undefined
R. Rex Parris High School