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Medical Billing Specialist Certificate

Last updated 6/3/2015

Certificate Code 5586

Program Contacts:
QC Campus
Kathryn Phillis, 309-796-5323,

The Medical Billing Specialist Certificate is to prepare students for employment in the health care information management area. This certificate enables the student to be employed by hospital billing departments, physicians’ offices, health care clinics, emergency care clinics, chiropractic offices, psychiatric clinics, health insurance companies and HMO offices.

The Medical Billing Specialist will work in jobs that require the knowledge of insurance basics, insurance claims, specific health care insurance carrier’s expectations, strong data entry skills, team working experience with medical coders and medical transcriptionists and others on the health care team, medical terminology, law, liability and medical ethics when working in the healthcare information management area, internet medical billing opportunities, computer keyboarding with Windows, Medical Manager billing software and the ability to communicate effectively – both oral and written, with carriers and their representatives and patients.

To deliver these special skills in this program, this curriculum provides both classroom instruction and hands-on experience in the form of a 240-hour internship.

Primarily, the job would include accounts receivable work, posting receipts, verifying insurance, follow up on insurance claims, customer service, medical bill review, handling all assigned claims to conclusion. Billing Specialists work with insureds and doctors to arrange settlement, work on windows-based programs including Medical Manager software and collections.

Many physicians’ offices would require that the Medical Billing Specialist have some crossover duties required with the receptionist or medical secretary – accepting the duties of scheduling appointments, answering phones, picking up customer information from the hospital, coordination of in-patient and out-patient coding activities, solving and correcting errors in billing and physician scheduling.

Medical Billing Specialist Certificate
Certificate Code 5586
Course of Study Outline – Suggested Courses (Credit Hours)
First Semester
BE 100 — Orientation to Work Environment (2)
BE 110 — Data Entry (2)
BE 141 — Computerized Keyboarding I (3)
BIOL 150 — Medical Terminology (3)
HIM 156 — Introduction to Health Insurance (3)

Second Semester
BE 180 — Business Communications (4)
HIM 200 — Advanced Medical Terminology (3)
HIM 249 — Management of Health Information (3)
HIM 251 — Medical Office Procedures (3)
HIM 255 — Management of Electronic Health Records (3)

Third Semester
HIM 254 — Law, Liability and Medical Ethics (3)
HIM 261 — Seminar (1)
HIM 265 — Internship (3)
Elective (3)

Minimum total hours required for Certificate (39)

Courses for this program include: »

BE 100 Work Environment Orientation
2 cr. hrs.;
2 lecture hours; 0 lab hours per week.
This course is intended to introduce the facts, skills, strengths, and career goals necessary for the business work environment necessary for success in the Business Education curricula.

BE 110 Data Entry Applications
2 cr. hrs.;
2 lecture hours; 0 lab hours per week.
Designed to teach data entry skills, to help the student develop dexterity and accuracy in keyboarding alphabetic and alphanumeric characters, and to help the student become familiar with common data entry procedures, including voice input.

BE 141 Computerized Keyboarding I
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Keyboard mastery and document formatting using a current word processing software package.

BE 180 Business Communications
4 cr. hrs.;
4 lecture hours; 0 lab hours per week.
Prerequisite: See assessment and placement guide.
Techniques of effective written communications for business. This will include psychology of communicating with customer service emphasis, focus on international communications, and accuracy and conciseness needed for in-house e-mail.

BIOL 150 Medical Terminology
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: 83 or above on COMPASS reading test or REA 098 “C” or better.
This course presents the principles of medical word construction through identification of root words, prefixes, suffices, combining forms, and methods of building medical terms. Emphasis is placed on correct medical word spelling, pronunciation, and definition, while introducing terminology specific to various body systems. The course is intended to prepare students to classify medical information for use in medical coding, billing, and reporting.

HIM 156 Introduction to Health Insurance
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Introduce students to health insurance industry; present step-by-step procedures for generating, processing, and submitting health insurance claims to commercial, private, and governmental health insurance programs.

HIM 200 Advanced Medical Terminology
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: BIOL 150 “C” or better.
Building a strong medical vocabulary, emphasis on extensive medical specialties anatomy, diagnostic and treatment procedures, progress of student from word recognition to usage in medical reports.

HIM 249 Management of Health Info
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Create an understanding of management principles as they apply to various health information management settings. The student will see the health information manager job as that of a broker-including data capture, analysis, integration, and information dissemination in the health information area. Each major management function is addressed: planning, organizing, leading, and controlling.

HIM 251 Medical Office Procedures
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: BIOL 150 “C” or better.
Administration of the medical office; insurance, professional and business records.

HIM 254 Law Liability and Medical Ethics
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
A careful examination of health legislation and health policy implementation. Student will become aware of legal aspects of handling information and ethics involved in management of medical information. Case studies will be used to provide problem solving.

HIM 255 Management of Electronic Health Records
3 cr. hrs.;
3 lecture hours; 0 lab hours per week.
Prerequisite: Concurrent enrollment in HIM 251 and 200.
Administration of the medical office work flow using electronic medical record simulation. Hands on computer experience with simulated electronic medical record applications via internet access. Students will gain knowledge and understanding of how accounts receivable, billing, collections and medical office work flow are electronically performed.

HIM 261 Seminar
1 cr. hr.;
1 lecture hour; 0 lab hours per week.
Prerequisite: Concurrent enrollment in HIM 265.
Discussion of internship activities, challenges, team opportunities and problems.

HIM 265 Internship
3 cr. hrs.;
0 lecture hours; 40 lab hours per week.
Prerequisites: Instructor consent and concurrent enrollment in HIM 261.
Supervised field program, providing work experience in offices for students enrolled in Health Information Management.

Gainful Employment

Gainful employment is one important measure that students and parents should pay attention to as they examine colleges and programs. All non-degree programs must be designed to lead to gainful employment in a recognized occupation in order to be deemed eligible for federal student aid. These programs are generally less than 2 years in length and result in a certificate.

Medical Billing Specialist Certificate