Start your medical front office career with this entry-level certification program. What Does a Medical Billing Specialist Do? Medical Billing Specialists have the option to work in either an insurance office or a variety of healthcare environments, including doctors’ offices, hospitals, and healthcare facilities. Some responsibilities include interacting with patients, extracting information from their medical records related to medical procedures, diagnoses, and symptoms, and preparing them for reimbursement submission. Explain the revenue cycle and process of medical billing in order to transmit CMS-1500 claim forms using ICD and CPT codes Describe front-end duties related to patient demographics, insurance verification, authorization, and referral forms Ensure accuracy with payment processing, adjudication, remittance advice or explanation of benefits Ensure HIPAA, OSHA, and CMS compliance as applicable to protected health information, safety, claim submission, and prevention of fraud Qualifications High school diploma or GED Internet access Course registration & payment Completion of a medical billing training program Eligibility to sit for the Certified Billing and Coding Specialist (CBCS) exam issued by the National Healthcareer Association (NHA) #J-18808-Ljbffr