Online Courses for Aspiring Certified Medical Insurance Specialists
The following descriptions are for commonly offered online medical insurance courses.
- Medical Terminology Course: This course offers an overview of the medical terms, concepts and language generally used in clinical practice settings. Classes in word construction and definition, pronunciation, Latin language roots and spelling are designed to provide students with a fundamental knowledge of human anatomical names, diagnostic terms and medical procedures. The course is typically offered at the beginning of the program.
- Healthcare Introductory Course: This course provides a comprehensive analysis of the history and development of healthcare in the United States, with a focus on the changing role of the medical professional. Coursework examines the influence of computing technology on medical practice and modern healthcare delivery methods.
- Medical Law, Privacy and Ethics Course: Guidelines for medical practice conduct, patient's rights and the legal aspects of working in a clinical setting are reviewed in this course. Topics may include the Health Insurance Portability and Accountability Act (HIPAA), causes for malpractice litigation, individual professionalism and preventing criminal activity in the healthcare setting.
- Basic ICD-9-CM Coding Course: The fundamental guidelines for medical diagnostic and procedural coding are set forth in this course. Students are presented with the principal regulations regarding proper use and designation of codes and the ethical and legal issues surrounding insurance claims coding and submission.
- Computer Data Entry Course: This course is designed to build the keyboarding skills needed for efficient computer-based data entry, with a focus on improving alpha-numeric speed and accuracy through self-paced exercises. The class may include an overview of the typical data entry applications used in business offices. Successful completion of introductory computer, English and reading courses are recommended prior to course enrollment.
- Revenue Cycle Management Course: In this course, students learn the basics of medical office management. Topics covered may include insurance verification, patient scheduling, and practice management software.]
- Medical Reimbursement Systems Course: This course focuses specifically on third-party insurance payers, such as Medicare, Medicaid, tri-care and worker's compensation. Students learn about the billing processes and claim forms for each organization, as well as the rulers and regulations that govern how each system operates.
- Electronic Medical Billing Course: In this course, students learn about the billing and insurance procedures that can be conducted on electronic platforms. They gain experience using medical office management software for the submission of electronic claims and the routine inspection of billing processes.
Medical insurance specialists work within medical practices to secure correct and timely reimbursement for healthcare claims from insurance companies. Many of the courses that can prepare students for professional certification are available online, either as individual classes or as part of 1-year certificate programs offered by community colleges and some 4-year universities. Relevant associate's degree programs are also available.
Individuals who want to work as medical insurance specialists within medical facilities can prepare for career success and professional certification by completing online courses, either in standalone formats or as part of undergraduate programs.