AHMS 252 - Computerized Medical Billing

• Utilize ethical values when dealing with confidentiality or personal information contained in a health record.
• Apply HIPAA guidelines to healthcare reimbursement and medical office functions.
• Demonstrate a working knowledge of basic insurance concepts and terminology.
• Apply basic coding guidelines to assign and sequence procedural and diagnostic codes.
• Manage accounts receivables by inputting patient information, scheduling appointments, and processing billing, reports and insurance claims.
• File and manage insurance claim forms in compliance with guidelines for Medicare/Medicaid, Tricare, Worker’s Compensation, and Blue Cross/Blue Shield.
• Maintain claim management techniques to trace delinquent claims and problem solve denied or unpaid claims.
• Complete health insurance forms completely and accurately using Medisoft accounting package.
• Successfully complete case studies using software.