Training Course:

Medical Insurance Specialist
(Certificate)

School/Trainer:

Henry Ford Community College

Detroit, Michigan, United States

Course Format:
Classroom | E-learning | Virtual | Online/Live | On-site/In-house | Blended

Course Description:

The Medical Insurance Specialist is a Level II (Complex Skills Certificate) certificate designed
to provide entry-level skills for medical billing specialists. These individuals process the information
necessary for reimbursement of health care services. The medical insurance biller is responsible for
collection of preadmission/pretreatment insurance information through submission of claims to insurance
carrier or patient. Verification of insurance coverage and determination of whether any predetermination,
pre-certification, or second-opinion requirements exist is another important aspect of the job.

Training is provided in verification of insurance coverage, assignment of diagnostic and procedural codes,
as well as both manual and computerized claim preparation. Review and follow-up procedures for the major
carriers are included in addition to posting and balancing of accounts. The student will be able to recognize,
evaluate, and interpret inconsistencies, discrepancies, and inaccuracies in the billing procedure. Physician
billing as well as facility billing procedures are developed.

The Medical Insurance Specialist Certificate of Achievement requires a minimum of 48 credit hours which
may be completed in two years by attending full time, or it may be extended following a part-time schedule.
In either case, careful scheduling is required as not all technical courses are offered every semester.
Students are encouraged to consult the Health Career Advisor in planning their class schedules.

An optional Business Co-op for Medical Insurance Specialist is available during the last semester in the
program - students need to contact the Co-op Coordinator for additional information.

Medical Insurance Specialist is the second stage of the three step program option. The students may elect to
stop-out at the end of any one of the three stages depending upon their career and educational objectives.

?Medical Receptionist, Level I Certificate, 16.5 credit hours
?Medical Insurance Specialist, Level II Certificate, 48 credit hours
?Medical Practice/Facility - Business Management Associate in Business degree, 70 credit hours
...


Elements of this syllabus are subject to change.

Please go to the school's official website for training price and schedule:
http://www.hfcc.edu/

Phone:1-800-585-HFCC

School Address/Venue(s):

5101 Evergreen Rd.
Dearborn, MI 48128-1495
USA

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