This program will teach you how to prepare, submit and process insurance claims for doctors’ offices, hospitals, extended care facilities, diagnostic centers, insurance companies and other health-related facilities. You will learn the correct terminology for diseases, symptoms, diagnostic treatment and surgical procedures; how to gauge the susceptibility of the patient; the nature of the disease agent and the chain of infection; identify the components of the revenue cycle; define revenue cycle management; explain health care compliance issues; and perform other important tasks related to your job.
Medical Insurance Billing Proficiency Certificate
Career Options
Careers
Find your path.
Billing, Cost, and Rate Clerks – est. salary $41,407
Insurance Policy Processing Clerks – est. salary $43,235
Medical Secretaries – est. salary $38,378
**EMSI Data, 2019; Philadelphia County, PA; a percentage of people in these jobs may have a bachelor's degree or higher.
Courses and Completion Sequence
The following courses and sequence of courses is designed for the optimal success and completion of the Medical Insurance Billing Proficiency Certificate degree/certificate. Any alterations should be discussed with your academic advisor.
| Course Number and Name | Credits | Advisory Notes | Course Type |
|---|---|---|---|
| AH 103 - Medical Terminology | 3 credits | Must earn grade of "C" or better | Major Course |
| ENGL 101 - English Composition | 3 credits | Must earn grade of "C" or better | Major Course |
| BIOL 108 - Essentials of Human Anatomy and Physiology* | 4 credits | BIOL 108, a one-semester course in Anatomy and Physiology, is the minimum requirement for this Certificate. However, students who have completed the two-semester Anatomy and Physiology sequence (BIOL 109-BIOL 110) may substitute BIOL 109-110 in place of BIOL 108, provided that they have completed both BIOL 109 and BIOL 110 with a grade of "C" or better. | Major Course |
| AH 120 - Reimbursement Methodologies in Health Care | 3 credits | Must earn grade of "C" or better | Major Course |
| AH 190 - Human Disease and Treatment | 3 credits | Prerequisite: AH 103 and BIOL 108 or BIOL 109 | Major Course |
| AH 201 - Basic ICD and CPT Coding | 4 credits | Prerequisite: AH 103, AH 120, AH 190, BIOL 108 or BIOL 109/110 with a grade of "C" or better in each course. | Major Course |
General Education Requirements:
All general education requirements necessary for graduation are met through the courses in the program as indicated above. Students who wish to take courses that differ from the general education courses indicated above must complete a course substitution request form. To access the form, login to the MyCCP portal, and in the Student tab, under Electronic Forms, click on the Records and Registration Forms link, then choose Request For Course Substitution Of Graduation Requirement link. A more detailed explanation of the College’s general education requirements is also available.
Featured Career
Insurance Policy Processing Clerks
Process and record new insurance policies and claims. Correspond with insured or agent to obtain information or inform them of account status or changes. Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies.
Median Salary
$48,105
$48,105
Number of Jobs
1,284
in the region
1,284
in the region
10 Year Job Outlook
+1%
in the region
+1%
in the region
Typical Tasks
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
- Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met.
- Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
- Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
- Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
- Notify insurance agent and accounting department of policy cancellation.
How well does it pay?
New workers generally start around $35,217. Normal pay for Medical Records and Health Information Technicians is $48,105 per year, while highly experienced workers can earn as much as $68,340.
Program Information
Medical Insurance Billing Proficiency Certificate
Degree Type:
Proficiency CertificateCredits Needed to Graduate:
20
Online Learning Availability:
60% or Greater