Medical Billing Specialist

Health care offices everywhere are in need of individuals who have received medical billing training to help keep their patient files as accurate as possible. Students enrolled in this course can become well versed in medical and procedural terminology, as well as learn complex insurance forms and advanced coding techniques.

Stratford's medical billing specialist course is an excellent opportunity to learn the skills you need to move toward a new money-making career in medical billing.

Medical Billing Specialist Course Outline
Medical Billing Specialist Module 1
Medical Terminology

• Basic Word Structure
• Suffixes and Prefixes
• Organization of the Body
• Body Systems
• Diagnostic Tests and Procedures
• Common Abbreviations and Symbols

Medical Billing Specialist Module 2
The Billing Specialist and Health Insurance

• The Qualifications of the Billing Specialist
• Legal Aspects of Insurance Billing
• Health Insurance Terminology
• Paying with Health Insurance
• ICD-10-CM
• ICD-10-PCS
• ICD-9-CM
• Coding Guidelines

Medical Billing Specialist Module 3
Procedural Terminology, Insurance Claims, and Managed Care

• Current Procedural Terminology (CPT)
• CPT Components and Conventions
• Using the HCPCS System
• Developing and Processing an Insurance Claim
• CMS-1500 Completion Guidelines
• Electronic Claims Submission
• Common UB-04 (CMS-1450) Completion Guidelines

Medical Billing Specialist Module 4
Types of Insurance Coverage Plans

• Blue Cross / Blue Shield Plans
• Medicare Health Plan
• Medicaid Coverage and Billing
• Tricare Billing
• CHAMPVA Claims
• Fraud and Abuse
• Workers' Compensation