Professional Certificate in Health Insurance Billing Procedures
-- viewing nowThe Professional Certificate in Health Insurance Billing Procedures is a comprehensive course designed to empower learners with the essential skills needed to excel in the health insurance billing industry. This course is of paramount importance due to the increasing demand for proficient health insurance billing specialists in healthcare organizations.
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Course Details
• Health Insurance Basics: Understanding Health Insurance Terminology, Types of Health Insurance, Health Insurance Eligibility and Enrollment
• Medical Coding and Classification Systems: ICD-10-CM, CPT, HCPCS, NCCI Edits
• Billing Procedures: Charge Entry, Claims Submission, Remittance Advices
• Claims Processing and Adjudication: Electronic Data Interchange (EDI), National Provider Identifier (NPI), Electronic Remittance Advice (ERA)
• Appeals and Grievances: Handling Claim Denials, Appealing Claim Denials, Filing a Grievance
• Compliance and Regulatory Requirements: HIPAA Privacy and Security Rules, False Claims Act, Stark Law
• Health Insurance Billing Software: Overview of Billing Software, Features and Functions, Data Analysis and Reporting
Career Path
Entry Requirements
- Basic understanding of the subject matter
- Proficiency in English language
- Computer and internet access
- Basic computer skills
- Dedication to complete the course
No prior formal qualifications required. Course designed for accessibility.
Course Status
This course provides practical knowledge and skills for professional development. It is:
- Not accredited by a recognized body
- Not regulated by an authorized institution
- Complementary to formal qualifications
You'll receive a certificate of completion upon successfully finishing the course.
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