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Medical Claims & Billing Specialist Outline

Medical Claims & Billing Specialist

Course Outline

Learn everything you need to know to start a new career as a Medical Billing Specialist. Your training will include overviews of Medicaid and Medicare billing requirements, medical terminology, human anatomy, medical billing codes, and how to handle problems with insurance companies and patients. Here's an overview of all of the custom learning materials and bonus items you'll receive in your course.

Unit 1


  1. The World of Healthcare
  2. Medical Insurance 101
  3. Ethics and Legal Issues
  4. Medical Records
  5. Introduction to Medical Terminology
  6. Dividing and Combining Medical Terms

Unit 2


  1. Medical Abbreviations, Symbols and Special Terms
  2. Body Systems
  3. Resources for the Healthcare Professional
  4. Electronic Health Records
  5. Coding for the Medical Biller

Unit 3


  1. Private Insurance and Managed Care
  2. Medicaid, PACE, CHIP and Medicare
  3. Military Insurance, Workers' Compensation and COBRA
  4. Determining Payment

Unit 4


  1. Introducing the CMS-1500 Claim Form
  2. Explanation of Benefits
  3. Secondary Claims
  4. The UB-04 Claim Form
  5. Insurance Follow-up and Preparing the CMS-1500
  6. Medical Billing Technology


Additional Course Materials*

  • Medical Terminology Audio
  • Medical Terminology Flashcards
  • Claims Forms for Practice Exercises
  • Career Starter Guide

*Additional course materials will be delivered to you throughout your course.

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