Health Information Management

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Medical Billing Specialist Certificate (SPC.MBS)

What is Medical Billing?

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The responsibility of the medical biller in a healthcare facility is to follow the claim to ensure the practice receives reimbursement for the work the providers perform.

The biller typically assembles all data concerning the bill. This can include charge entry, claims transmission, payment posting, insurance follow-up, and patient follow-up.  Medical billing specialists are largely responsible for making sure medical office revenue cycles run smoothly.

Medical billers regularly communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information. The medical biller must understand how to read the medical record and, like the medical coder, be familiar with CPT®, HCPCS Level II and ICD-10-CM codes.

Credentials for the Medical Billing Specialist Certificate 

The Medical Billing Specialist Certificate prepares individuals for the CPB, Certified Professional Biller exam offered by the AAPC.

Program Requirements

The part-time Medical Billing Specialist Certificate consists of 17 credits. An HIM program application is not required.

Semester 1 Course Title Format Credits
HIT 105 Medical Terminology DL/F-F 2
HIM 101 Introduction to the Medical Office DL 3
HIM 110 Human Body in Health & Disease DL 3

 

Total

 

8

Semester 2 Course Title Format Credits
HIT 205 HCPCS (CPT-4) DL/F-F 3
HIT 209 ICD-10-CM Coding DL/F-F 3
HIM 200 Billing and Claims Processing DL 3

 

Total

 

9

 

Program Total

 

17

DL: Distance learning
F-F: Face to face
Hybrid: Combination of classroom and distance learning

Revised 04/2017

Rowan College at Burlington County reserves the right to change course schedule information, including instructor names, at any time as may be warranted by economic considerations, insufficient enrollments, and/or circumstances requiring such administrative action. *Curriculum is subject to change. The department will make every effort to keep students aware of changes as they occur