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Medical Insurance Specialist Certificate

PITTSBURGH, Pennsylvania | COMMUNITY COLLEGE ALLEGHENY COUNTY | ID: 168595

Overview

800 ALLEGHENY AVE PITTSBURGH, Pennsylvania 15233-1804
get directions
Admissions Office:
412-237-2222
Online Training
Classroom Training
Medical Insurance Specialist Certificate
Employment Skill Gain
Community College Certificate
$6,790.00 - $10,570.00
Training(ETPL)

Description of Training Provider

The Community College of Allegheny County offers nearly 150 programs of study across six diverse career paths. CCAC has over 120 Career & Technical Education programs designed for students to immediately join the workforce upon graduation. These programs

Program Description


This program provides training in the area of medical insurance and health care claims processing, as well as CPT and ICD coding and computerized medical billing. This program also serves the needs of health care personnel interested in upgrading their professional skills.

Skills & Competencies

Upon successful completion of the program, the graduate will:
  1. Evaluate a patient’s insurance coverage, differentiate between health insurance and worker’s compensation situations and apply guidelines for claims submission set forth by the appropriate insurance carrier.
  2. Collect and analyze documentation from a patient’s chart to select and apply appropriate diagnostic and procedural codes to insurance claims.
  3. Differentiate between a primary insurance claim and a supplemental claim and apply information appropriately to each insurance situation.
  4. Manage new claims submissions, payments received in office, submission of supplemental claims, corrections and appeals of claims in a timely manner.
  5. Apply critical thinking skills and problem solving skills to claims denials for successful appeal submission and reimbursement.
  6. Identify medicolegal issues and adhere to guidelines, rules, regulations and laws governing them to maintain compliance in the health care practice.

 

Additional Information

Service Costs

3,780.00
7,560.00
1,300.00
0.00
1,710.00

Performance Measures

Of those individuals who completed this course/program,
100% earned a post-secondary credential.
85% were employed within six months after completing training.