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Medical Insurance Billing Certificate: Digital Badges & Credentials
Medical Insurance Billing Certificate
Learn more about earning, accepting, and sharing your CSUDH Digital Badges, Certificates & Credentials 鈻�
Medical Insurance Billing Certificate
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How to Become a Medical Billing Specialist in 9 Months
Medical Insurance Billing: Program Overview
CSUDH鈥檚 instructor-led Medical Insurance Billing program, conducted live online, provides an in-depth understanding of the key concepts and processes involved in the medical insurance billing industry.
Participants will gain foundational knowledge in medical terminology and learn about coding systems such as Current Procedural Terminology (CPT) and the International Classification of Diseases (ICD-10). The program also introduces the Healthcare Common Procedure Coding System (HCPCS)鈥擬edicare鈥檚 standardized coding system developed by the Centers for Medicare & Medicaid Services (CMS)鈥攗sed for services and supplies not covered by CPT codes, including ambulance services, medical equipment, and certain drugs. The program further explores medical record composition, including what constitutes a complete medical record, how records are analyzed, and the documentation requirements for different types of services.
In addition, learners will review the major payer groups (Blue Cross, Commercial/Managed Care, Medicare, Medicaid/Medi-Cal, Workers' Comp, TRICARE, CHAMPUS, and VA) and explore how medical bills are created across various healthcare settings鈥攕uch as physician offices, hospitals, and skilled nursing facilities. The course also examines the computer systems and software that support the billing process.
Students will also address important legal and privacy regulations, including compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other confidentiality standards that govern patient information.
Employment Outlook
Medical insurance billing is a stable and lucrative field within the medical industry. The business office of every healthcare provider must provide proper documentation to a number of insurance companies for reimbursement for services. Opportunities for employment of insurance billers include physicians' offices, clinics, hospitals, and medical supply companies. The demand is driven by the growing need for healthcare services of an aging population as well as the need for individuals able to handle the complexities of paper and electronic information.
Program Benefits
Students will:
- Develop practical knowledge to strengthen your understanding of medical insurance billing practices and gain the skills needed to work effectively in today鈥檚 medical offices, hospitals, and clinics.
- Connect key concepts by linking medical terminology with procedure and diagnostic coding to see how each element fits together in the medical billing process.
- Understand payer rules and requirements to ensure medical bills are submitted accurately and payments are processed efficiently.
- Gain insight into HIPAA and related regulations, including those involving fraud, abuse, and compliance in the healthcare billing industry.
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What to Expect
This program combines live online lectures with interactive workbook and coding exercises to create an engaging, hands-on learning experience. The workbook serves as an essential part of the class, featuring exercises that guide participants through real-world scenarios and reinforce the topics discussed in each session.
Learners will delve into practical application by interpreting insurance ID cards, completing blank claim forms, and accurately creating and processing medical claims. Instructors also include in-class activities that promote active participation and strengthen understanding of billing and coding procedures, helping participants gain confidence in applying their new skills in professional settings.
Who Should Attend
This program is designed for:
- Individuals exploring a new career path and considering entry into the healthcare field
- High School graduates looking to start a career in healthcare
- New/entry-level healthcare staff who want to develop additional skills and gain a better understanding of the industry
- Professionals who recently transitioned into medical office roles who want to deepen their understanding of common practices and challenges
- Experienced healthcare practitioners seeking a refresher or update to support continued growth and career advancement
Eligibility Requirements
There are NO special eligibility requirements for this program. Prerequisites are recommended to enhance the learning experience.
Certificate: Course Requirements
A Certificate of Completion and digital badges/credentials are awarded upon successful completion of all eight courses. Those who do not wish to pursue a certificate may take individual courses.
- Insurance and Third Party Payers | NBMB 111
- Office & Insurance Problem Solving | NBMB 112
- Regulatory Requirements 鈥� HIPAA Compliance & Ethics | NBMB 113
- Inpatient / Outpatient Facility Billing | NBMB 114
- Medical Terminology | NBMB 115
- ICD-10 Coding | NBMB 116
- CPT Procedure Coding | NBMB 117
- Medical Insurance Computer Billing and Applied Billing Techniques | NBMB 118
Total Program Cost
- Program Cost:听$1,480
- Books: materials additional
- Parking: $0 (online program)
- Funding Assistance available (see below)
Location
Classes are held live online via Zoom, and open to students anywhere throughout the world.
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Instructor Profiles
Program Instructors
Victoria Morgan FHFMA, MS has been the Director of Revenue Cycle at Tahoe Forest Health System since 2018, at which she is responsible for all parts of the Revenue Cycle for including but not limited to 2 hospitals, a cancer center, a surgery center and 4 Rural Health Centers. In all, she manages the billing and collection functions of over 150 providers. She is also the Principal for Morgan and Associates Health Care Consulting Firm. Ms. Morgan has nearly 30 years of healthcare finance experience.
听 Connect with Ms. Morgan:
Peggi Ann Amstutz has over 30 years of experience in the healthcare revenue cycle industry, providing leadership to consulting projects from both the provider side as well as the consulting side. Her credentials include MBA, CCS, CCS-P, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer, and CPC Approved-Instructor. She created an industry reputation for her Revenue Cycle and CDM project management skills and is adept in compliance, coding and revenue integrity-oriented focused engagements. Her educational skills include coaching hospital teams, developing educational content, and presenting seminars from basic coding to revenue integrity compliance.
Peggi Ann is not only an industry leader (in past roles as Committee Chair, Officer, and President of the Washington/Alaska HFMA and current Nevada HFMA Director) but also has an extensive background in health system Revenue Integrity programs and policy development. In addition to her proven ability to interpret Federal and State rules and regulations for coding and payment systems, she also has hands-on experience managing daily clinic operations (Free Standing, RHC, and Provider-Based), leading revenue cycle teams for hospitals and physician groups, preparing and monitoring annual revenue and expense budgets, and planning and implementing quality improvement initiatives. Peggi Ann has implementation and management experience in the Epic Systems environment and other HIS systems. She has taught numerous coding classes, claim form integrity courses, CDM management, and compliance classes. She also possesses an excellent understanding of CMS reimbursement methodologies, compliance standards, and HIPAA.
听 Connect with Ms. Amstutz:
pamstutz@csudh.edu