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What Medical Billers and Coders Do

medical billing trainingWith the right medical billing training, you can be ready for a career in the field of healthcare.

At the Harris School of Business, one of our core programs is the Health Claims Specialist program, where students undergo medical billing training so that they can work in a variety of medical settings, including medical offices, specialty offices, hospitals, clinics, and insurance offices.

If you have never heard of this field before, you might be wondering what a health claims specialist does. This job is an important job in any medical office, because health claims specialists are responsible for processing insurance claims to make sure that healthcare offices get paid for the services they provide to patients.

What is involved in processing insurance claims?

To become a Health Claims Specialist, it’s important that you receive a background in medical terminology and insurance terminology, so that you are comfortable with the language that is used in medical offices. Insurance claims will contain medical terminology, such as the name of a medical diagnosis, surgical procedure, prescribed medication, diagnostic exam, or other medical service.

In addition to understanding basic medical terminology, you will need to get trained in the codes that are used in the healthcare industry as well as the commonly used claim forms. The International Classification of Diseases (ICD) is the most commonly used tool to classify diseases and health problems, and learning about the ICD will be part of your medical billing training.

With each insurance claim, medical coders have to assess the patient’s record and assign certain codes to the diagnosis, procedure, or other service provided by the medical team. With these codes in place, the medical biller can then submit the claim and bill the insurance company. The medical biller is also responsible for keeping track of invoices and making sure that payments are made on time. For this reason, billers need to understand the codes and know how to read medical invoices. They are a key link to keeping the office’s revenue stream moving.

What do you learn in medical billing training courses?

If you attend a career-focused school such as the Harris School of Business, you will learn the skills you need to enter this field. At Harris, our training includes courses such as:

  • Medical Terminology and Anatomy I and II
  • Medical Coding I, II, III, IV, and V
  • Hospital Billing and Coding Forms
  • Health Claims Theory and Practical Application
  • Introduction to Insurance
  • Office Manager
  • Office Administration
  • Word Processing and Excel
  • Computerized Billing Simulation
  • Career Development

What is the work setting like?

Most medical billers and coders work in medical office settings, often times in cubicles or at shared desk spaces. The environment is usually very professional, clean, and comfortable. Medical billing involves working with both patients and insurance companies, so you will need to be comfortable talking with people in person and on the phone. You should expect to do a lot of your work on computers. Depending on the size of the practice, the workplace is typically busy with many patients—and many claims—coming in and out of the office every day.

If becoming a health claims specialist sounds interesting to you, contact the Harris School of Business to learn more about our program. In addition to this program, some of our other career-focused programs include massage therapy, dental assistant training, and our medical assistant programs. You can reach us at 1.800.510.7920 or simply fill out our simple form, and someone will be in touch with you shortly. We hope you choose Harris to start pursuing your new career!

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