Medical Insurance Biller

computerStudents in our Medical Insurance Biller Program develop a working knowledge of applicable skills for the complete insurance billing cycle used in medical offices, medical clinics, and health care centers. Through the dynamics of lectures and computerized billing labs, students gain confidence early in their training before progressing to more complex insurance procedures.

Students develop the ability to correctly process medical insurance billing claims for all major insurance plans including BCBS, Medicare, Medicaid, and commercial carriers. They develop competencies in processing claims by utilizing ICD-10-CM, CPT, and HCPCS coding references and apply medical terminology and appropriate insurance language when abstracting patient information related to physician services and medical diagnoses.

Proficiency is gained through application of billing principles. Students develop skills managing patient charges, accounts receivable, uncollectibles, payment posting, electronic medical records (EMR), and daily & month-end balancing practices. The software utilized provides solutions for processing medical insurance claims, managing rejected claims, resubmission of claims, and troubleshooting uncollectibles. Internet sites supporting insurance carriers including WebDenis (BCBS), Medicare, and Medicaid are explored.

Students learn the importance of HIPAA guidelines, ethical behavior, and strong verbal and written communication skills, and the influence these skills have on cooperative, professional interaction between the medical biller, physician, patient and insurance carrier. The professional insurance biller adheres to the high standards set for the medical insurance billing profession. A proficient medical biller is vital to the daily cash flow of a well-managed medical practice, and contributes directly to its financial stability.

Graduates of the Medical Insurance Biller Program are prepared to meet the challenges of career entry positions in private practices, medical clinics, and health care centers.

Textbooks & Reference Manuals
F.A. DavisMedical TerminologyGylys978-0-8036-3573-3$48.00
PMICCPT CodingPMIC978-1-939852-41-0$89.95
PMICICD-10 CodingPMIC9781-939852-27-4$99.95
Carnegie InstituteReference ManualCarnegie Institute$37.10