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Medical Insurance Billing Clerk

medical coder

This course covers patient advocacy, ethics, current medicolegal issues (such as HIPPA and the Affordable Care Act), analysis of various types of documentation and the medical record, diagnostic (ICD-10-CM) and procedure (CPT/HCPCS) coding, basic commercial and government health-plan benefit structures and coverage requirements, types of managed care systems, completion of CMS-1500 claim form, ledger transactions, insurance communications, tracking reimbursement and appeals process. Includes an introduction to computerized medical billing/accounting with MediSoft. This is an accelerated Medical Insurance Billing course which requires weekly homework and regular attendance. Enrollment in Medical Terminology is strongly advised.

Prerequisites: 18 years or older; speak, read, write English 
at the 11th grade US high school level.

Course Fee:  $395 Includes textbook.  Note: Students MUST purchase their own code book.  See instructor for details.

Dates:  Jan. 26 - June 8

Sat.

11:00 am - 4:00 pm

Room 203 

 

A background check may be required for externships, clinicals and licensing, certification or registration with the appropriate governing board.

Job Duties

Medical Insurance Billing Clerks typically do the following:

  • Make appointments and verify insurance coverage
  • Obtain patient insurance and demographic information
  • Complete a variety of paper and electronic forms & maintain accurate and legally compliant medical/financial records
  • Code medical procedures, encounters, services and supplies
  • Code diagnostic information related to medical services
  • Process and submit insurance claims
  • Post ledger transactions such as charges for medical services/supplies and payments received from insurance coverages and patients
  • Prepare patient statements and collect patient balances
  • Claim follow-up and appeal process for denials