Medical Billing Specialist

This course will benefit anyone considering a career in allied health, as well as those already working in the field. Allied Health Professionals must be committed to the key attributes of professionalism and strive to reflect this within the delivery of patient-centered safe and effective care. “Professionalism” is a broad term that reflects many different skills and abilities. For an individual to exhibit professionalism, he/she must be armed with specific skills and abilities that do not always show up within certification requirements, or even within a career training curriculum. Soft skills are hard to measure and are typically less well-defined than hard skills. However, soft skills are what set many job candidates apart. Professionalism is not just what one knows, it is how one does their job, how one behaves and how one comes across as they interact with others.

The purpose of this course is to provide students with soft skills training that will provide the tools needed to demonstrate a higher level of professionalism on the job. Key components of the course focus on patient interaction, proper office behavior, medical ethics, diversity and cultural bias, emotional strength, professional appearance and communication. The course maintains a focus on the key attributes that are true markers of professionalism.

This course was created with input from healthcare professionals working in the field, healthcare employers that hire our graduates, professional educators and even former MedCerts students. The end result is a collection of modules that touch on the soft skills that are TRULY important in the real world of allied healthcare. In this course, students are engaged through scenario-based learning that allows for real interaction with virtual co-workers and patients. Additionally, game-based activities keep students engaged and entertained throughout their learning journey.

This course is designed to familiarize the student with the language of medicine, through the study of prefixes, suffixes, root words, abbreviation, and pronunciation of words. The curriculum also includes an overview of anatomy and physiology in order to increase the understanding of medical vocabulary. Students will examine the organization of the integumentary, musculoskeletal, hematic, lymphatic and immune, and cardiovascular systems in the human body. They will become familiar with the medical terms that relate to the respiratory, digestive, nervous, endocrine, reproductive, and excretory systems. Students will also examine terms related to the sensory organs, with a concentration on the organs for hearing, sight, and smell. This course will prepare students to better understand spoken and written interactions in all medical environments.

This course provides foundational knowledge required of an administrative allied healthcare professional with insight and focus on the role of the Insurance Billing Specialist. Emphasis is placed on the revenue cycle and basic insurance terminology. This includes topics related to HIPPA and HITECH laws and regulations, patient financial responsibility, insurance verification, government and commercial insurance plans, diagnosis coding using ICD-10-CM, procedure coding using CPT and HCPCS, modifiers, and the encounter form. CMS-1500 and HIPAA 837P claim formats, payment processing, claim follow up and collections are also addressed.