Graduates of this course will be trained in the theoretical instruction and practical skills that prepare them to gain entry-level employment in the medical billing profession. This course offers the most up-to-date information on the health insurance industry and reimbursement methodologies for claim submissions, so you can rest assured you will learn everything you need to have a successful career as a medical billing and medical claims specialist.
In Pack 1, students explore the roles of various healthcare professionals. Additionally, students discover the role medical records play in a billing specialist’s job and gain a basic understanding of electronic records. They begin learning medical terminology using a unique word-building system to help them interpret new terms.
Pack 2 rounds out the important work of mastering medical vocabulary using a word-building system. After examining important ethical and legal issues that they may encounter, students wrap up by learning about the history and development of healthcare reimbursement.
Pack 3 begins with the history and development of the various coding systems. Then, students gain an overview of private insurance, managed care, and government programs. Finally, the details of military insurance and workers’ compensation are reviewed.
This pack introduces students to one of the most common insurance claim forms—the CMS-1500. Students get extensive, hands-on practice completing the CMS-1500 form and interpreting explanations of benefits, as well as completing secondary claims. Students then explore how to deal with insurance follow-up, denials, and aging. Finally, students learn to complete a claim using a cloud-based medical billing software.