Medical Insurance Billing: Program Overview, Universities, Careers & Salaries

Program Overview

Designed for professionals seeking a career in healthcare finance and administrative operations, this program equips learners with the expertise to manage insurance workflows within medical offices, clinics, hospitals, and insurance organizations. Graduates gain the technical and regulatory knowledge needed to ensure accurate claims processing, compliance with healthcare laws, and efficient financial operations in complex healthcare environments.

• Health and Medical Insurance Processes: Learn the end-to-end workflow of insurance claims, from initial patient encounter to final payment, including coordination between providers, patients, and insurers.
• Health Insurance Law, Policy, and Regulations: Understand federal and state regulations governing insurance operations, including HIPAA compliance, anti-fraud provisions, and evolving healthcare legislation.
• Insurance Records and Paperwork Administration: Develop proficiency in organizing, maintaining, and securing sensitive medical and financial documentation with accuracy and confidentiality.
• Insurance Office Administration: Master the organizational and procedural standards required to maintain smooth daily operations in insurance-focused healthcare settings.
• Health/Medical Insurance Software Applications: Gain hands-on experience with industry-standard platforms used for claims submission, eligibility verification, and billing automation.
• Personnel Supervision: Build foundational leadership skills for managing teams in administrative and billing departments, including task delegation and performance monitoring.
• Business Mathematics: Apply quantitative methods to calculate premiums, reimbursements, deductibles, and other financial components of healthcare billing.
• Billing and Collection Procedures: Learn systematic approaches to invoicing, follow-up on unpaid claims, and managing patient accounts with professionalism and compliance.
• Medical Terminology: Acquire a working knowledge of clinical language to interpret patient records, diagnose codes, and communicate effectively with healthcare providers.
• Communications Skills: Cultivate clear, empathetic, and professional communication abilities essential for interacting with patients, providers, insurers, and team members.