Medical Billing Administrator: Job Description and Education Requirements

Medical billing administrators are trained in billing processes for medical procedures. Most have completed a certificate or associate's degree program in medical billing and coding. Hospitals, clinics and physicians' offices are the most common employers of medical billing administrators.

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Job Description of a Medical Billing Administrator

Medical billing administrators handle insurance claims and other forms of physician reimbursement. They determine which medical procedures are covered by insurance and work with patients on payment plans for procedures that aren't covered. Medical billing administrators also resolve issues related to insurance claims and patient payments. They maintain patient billing files and might perform some administrative duties, depending on their workplace. Medical billing administrators are typically experienced in medical coding as well.

Education Requirements for a Medical Billing Administrator

Medical billing jobs commonly require completion of a certificate or associate's degree program in medical billing and coding or medical administrative assistance. These programs include coursework that covers medical terminology, anatomy and physiology. Students are introduced to common medical coding terms and procedures, such as ICD-9 and certified medical transcription (CMT). Additionally, medical billing students become familiar with various insurance providers and software applications, as well as general laws and ethics, including the Health Insurance Portability and Accountability Act (HIPAA).

Certification Information

Medical billing administrators are not required to become certified, although some employers do seek individuals who've earned voluntary certification. Several options exist, depending on an individual's career goals. Medical billing administrators who want to focus on coding can pursue the Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) designations through the American Health Information Management Association (AHIMA). This organization also offers the Registered Health Information Technician (RHIT) credential for those graduating from an approved associate's degree program. The RHIT designation might prove valuable for those aspiring to move into managerial positions in health information.

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