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What does a Medical Billing Specialist do?
Medical Billing Specialists have the option to work in either an insurance office or a variety of healthcare environments, including doctors’ offices, hospitals and healthcare facilities. Some responsibilities include interacting with patients, extracting information from their medical records related to medical procedures, diagnoses and symptoms and successfully submitting claims for reimbursement
Entry Level Jobs Available In The US
According to Burning Glass jobs data, Medical Billing Specialist will see available jobs grow 13.5% over the next ten years
Medical Billing SpecialistMedCerts Tuition Options
We believe everyone should have access to higher education. With the option to pay in full, break down payments or utilize government grant funding, we help expand that access.
Pay in Full
One Time Payment
Pay in full, up front.
Get the most value out of your education and focus on your studies instead of making monthly payments.
Starting with just $200 down!
Pick the payments that fit your life (or budget). Plans range from 4 to 12 months with 0% interest rates available!
Final pricing is given at time of purchase and may vary from the example pricing given above.
MyCAA, Army Credentialing Assistance and Workforce Grants
MedCerts offers financial aid options through MyCAA, WIOA and Army COOL. You must be a Military spouse, active duty Army, Reserves, or National Guard member or WIOA eligible job seeker to receive aid.
Training Options ForMedical Billing Specialist
MedCerts programs are one of the fastest and most affordable ways to receive a quality education that leads not only to a credential, but also a career
Two and Four Year Colleges
Other Online Programs
Program & Tuition Cost
Up to $20,000
Exam Fees, Books & Materials
Up to $750
Up to $750
Job Ready In
Set Class Schedule
None - 100% online
None - 100% online
Personal Advisors - text/call/email access
Professors - scheduled office hours
Exam-tailor + soft-skill training to build well-rounded careers
Exam-based + prerequisites and electives to meet credit hour requirements
3D animations, immersive environments, interactive activities, game-based learning
Varies - typically videos & presentations
This table is for reference only. Actual prices, durations and features may vary. Pricing is based on full-cost tuition for a Medical Assistant or similar program before financial aid.
Loved by students
Over 1000 Student Reviews
I would highly recommend the programs
“I would highly recommend the programs available through Medcerts. The one that I just completed was for Medical billing. The online program runs very smoothly and transitions nicely from one section to the next. I took a lot of notes and also printed study quizzes, and worked on those separately. The convenience of sitting at my computer at any part of the day and spend as much time as I wished to was great! Also, the fact that an advisor would check up on me regularly and was always available if needed. I believe that this program is set up to make their students successful. I hope to be certified soon and feel confident that I have the competence to start a new career.”
Medical Billing Specialist
Identify major laws, regulations and guidelines related to medical billing
Understand various insurance types, carriers and plans and appropriate rules for coverage determination
Recognize ICD-10-CM, CPT, HCPCS and modifiers and how to utilize them for billing
Accurately complete and submit health insurance claims for reimbursement
Comprehend payment adjudication, various claim statuses and the resubmission process
Gather, review and verify crucial patient information and documentation
Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit 'clean' claims for reimbursement
Submit reimbursement claims to insurers and optimize healthcare providers’ maximum payment for medical procedures performed
High School Diploma or GED
Web browser with internet connection
Course registration & payment
Expert-led video based training
National Certification exam fee
Dedicated Student Success Advisors
Tailored support based on performance & behavior
Exam preparation process
Career Services Advisor
Introduction to Human Anatomy and Medical Terminology
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.
Recognize the structure and function of the 11 body systems and their organs
Understand the medical language that is used to describe those systems
Analyze and understand medical terms by breaking down their word components
Appreciate the major diseases and conditions related to the human body
Apply your knowledge within the healthcare setting
Insurance and Billing, and Coding Essentials
This course covers the skill set and knowledge required to fulfill a position as an Insurance Billing Specialist. This will include an introduction to diagnosis coding (ICD-9 and ICD-10), procedure coding (CPT and HCPCS), billing and reimbursement processes and understanding insurance companies; as well as Medical Insurance Billing as a Career, HIPPA & HITECH, Health Insurance basics, Medical Record Documentation, Electronic Data Exchange, Claim Reimbursement, Fees, BCBS, Managed Care, Private Insurance, Medicare, Medicaid, Tricare, CHAMPVA, Workers Compensation, and Disability Income Insurance.
The Regulatory Compliance Laws
How to complete a CMS-1500 Insurance Claim form
How to perform Medical Front Office Procedures
The differences between ICD-9 and ICD-10 codes and how to apply them
How to calculate payment adjudication
Total Program Duration
Loved by students
MedCerts Is a Miracle.
“I am beyond to have found a program that not only help further your education, but the program is also flexible to accommodate your schedule. You don’t have to get your prerequisites out of the way and the program dives straight into the field you wish to build a career in.”