Career Details

Medical Software, Insurance and Pre-authorization Specialist

Description

Medical Software, Insurance and Pre-authorization Specialist work in physicians' offices, hospital, urgent care center, billing companies, insurance companies and many more places. Their main duty is to input data into the Medical Billing Software to process the claims for reimbursements. Moreover, they must have an understanding on various types of insurances and the procedures to billing for the services rendered to the patient, apart from this their other main duty includes verifying insurance benefit eligibility and obtaining pre-authorization for services.

Certifying Organization

American Education Certification Association

Details

If significant education or training is needed? No
If significant work experience is needed? Yes
Is an exam required? Yes
How many years until certification must be renewed? 1 year(s)
Certification can be renewed with Continuing Education Units? Yes
Certification can be renewed with re-examination? No
Certification can be renewed with Continuing Professional Development? Yes
Certification can be renewed in multiple ways? Yes

Certificates

Certifying Organization

American Association of Healthcare Administrative Management

Type

A - Core

Certifying Organization

The National Alliance for Insurance Education and Research

Type

A - Core

Certifying Organization

The National Alliance for Insurance Education and Research

Type

A - Core

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