Medical Billing Specialist Certificate

Program Description

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.


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

Suggested Courses

Course (Credit Hours):

First Semester

BE 100 Orientation to Work Environment (2)
BE 110 Data Entry (1)
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 degree: 39