Medical Insurance Billing Specialist Certificate
Medical Insurance Billing Specialist Certificate
Available at these Campuses: Bridgeview
The Medical Insurance Billing Specialist certificate is intended for individuals already employed in a medical records-related field who wish to enhance their medical insurance billing knowledge, as well as those without prior experience who wish to gain skills for entry-level billing positions with healthcare providers. This program emphasizes skills for completing claim forms, assisting health consumers and healthcare providers with insurance questions, verifying insurance coverage, obtaining pre-authorization and verification, and submitting electronic claims to clearinghouses and third-party payers in ambulatory care settings. Concepts of revenue cycle management and accounts receivable monitoring are also covered.
Students completing this program will be qualified to sit for the American Medical Billing Association CMRS (Certified Medical Reimbursement Specialist) credential or the American Association of Professional Coders CPB (Certified Professional Biller) credential. This program is designed to be completed in one year.
Upon completion of the program, it is expected that students will be able to:
- Understand the various types of insurance plans
- Apply payer policy, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim submissions
- Demonstrate knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines
- Successfully navigate the varying rules and regulations applying to the healthcare industry, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark
- Demonstrate expertise in effective claim follow-up, patient follow-up, and denial resolution
As a Medical Insurance Billing Specialist student, you will enjoy classes such as:
This course is a technical approach to medical vocabulary studying word elements. Emphasis is placed on spelling, pronunciation, and word analysis. Study focuses on anatomical, diagnostic, operative, and symptomatic terms that apply to each body system and medical specialty.
Anatomy, Physiology and Pathophysiology I
This course provides an introduction to the structure and function of the systems of the human body in the Anatomy and Physiology portion of the course. As survey of clinical pathophysiological mechanisms and their methods of diagnosis and treatment that cause disruption of normal physiologic processes across the life span. Topics covered include the Integumentary, Musculoskeletal, Nervous Systems as well as the Sense Organs.
Coding and Classification Systems I
This course is a study of the official coding rules, guidelines, and classification systems for assigning valid diagnostic codes for ICD-10-CM. Students will abstract health information according to regulatory guidelines for acute hospital or professional coding. Out-of-class laboratory time is required.
Accreditations and Approvals
Northwestern College is accredited by the Higher Learning Commission, 230 S. LaSalle St., Suite 7-500, Chicago, IL 60604, (312) 263-0456, www.hlcommission.org.
Northwestern College is approved for veterans training under the G.I. Bill for Veterans Educational Assistance.
Making College Affordable
At Northwestern College, we help our students understand their college costs and how to pay for them. We also, understand that applying for financial aid can seem a little confusing and overwhelming, and want to make the process of applying for financial aid as easy as possible. That’s why our Financial Assistance Representatives are available to meet with you to help you understand financial aid and help you navigate through the application process.
Northwestern College participates in several different types of financial aid programs to enable our Financial Assistant Department to offer you the best possible combination of aid awards. We participate in both the Federal Student Aid Programs and Illinois State MAP Program, along with other miscellaneous financial aid programs from various sources (including Veterans Programs).
Most of our students receive some form of financial assistance. We work hard to help you find the money you need to finance your education, guiding you through the financial aid process and helping you explore different financial aid options. Grants, loans, scholarships, and work-study will assist you in paying for a college education. Read on to learn more about these opportunities.
Remember, you can always contact the Financial Assistant Department at any time and speak with one of our Financial Assistance Representatives if you have any questions regarding the financial aid process. We look forward to helping you!
Grants are need-based awards funded by the federal or state government. Grants are funds that do not require repayment. Learn More
For many students and parents, loans represents an important resource to help finance educational expenses. Northwestern College participates in the federal student loan program which allows students and their parents to borrow money to help meet their educational costs. A loan is a borrowed money that is expected to be paid back with interest. When you take out a student loan, you are making a legal obligation to repay the loan, so carefully consider the amount you borrow. Be a responsible borrower and borrow only what you need. Learn More
The internal scholarships and tuition discounts that we offer are sums of money that do not require repayment. Last year, we made more than $4 million in scholarships available to students just like you. See which ones you qualify for.
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