Medical Insurance Billing

COURSE CODE & TITLE MIB 17 Medical Insurance Billing
COURSE DURATION 90 hours
COURSE AVAILABILITY Thrice a year – Weekend/Evening*
MEDIUM OF INSTRUCTION English
MAXIMUM INTAKE 20
PREREQUISITES (General) Graduate degree or higher diploma in Health care field/life sciences
OR Graduate degree or higher diploma in any other field with 3 years of experience in the insurance field or  hospital setting subject to passing the medical terminology eligibility test conducted by the university
AWARD 9 CE UNITS

COURSE DESCRIPTION

Students receive instruction in medical office insurance billing procedures, including patient financial records, computerized billing, CPT-4 and ICD-10 coding, collection procedures, identifying and billing various insurance plans (group, PPO, HMO, IPA, federal, state and workers’ compensation)

COURSE OUTCOMES:At the end of this course participant should be able to

  1. Identify the role and responsibilities of the Medical Insurance Billing professional.
  2. Use correct insurance terminology and demonstrate positive verbal communication and active listening skills, including obtaining clarification of information and directions.
  3. Identify sections and guidelines in the CPT Coding book.
  4. Identify sections and guidelines of the ICD – 10 Coding book..
  5. Demonstrate completion of a claim form using proper codes for various insurance types.
  6. Differentiate between the various types of insurance, including private, Medicare, Worker’s Compensation, HMO, group insurance plans, , and disability, and cite the codes specific to each type of insurance.
  7. Describe the various formats and the information listed in the Explanation of Benefits.
  8. Describe the process for billing a secondary insurance.
  9. Demonstrate the correct procedures for entering data into a medical software program, creating reports and claim forms, without breaching patient confidentiality.
  10. Describe career opportunities for medical insurance billing professionals and demonstrate job search and retention skills.

WHO SHOULD ATTEND THE COURSE
This course is designed to prepare students for employment in a medical insurance billing or other medical-clerical position in a doctor’s office or clinic, or to start their own company-based billing service. For those students wishing to further their education in the medical field, this program provides a firm foundation.

COURSE CONTENT

Orientation CPT – 4 Coding
Communication Skills and Insurance
Terminology
ICD – 10 Coding
Claim Forms and Insurance Plans Explanation of Benefits
Secondary Insurance and Collections Types of Insurance
Job Search and Retention Computer Applications

COURSE METHODOLOGY

  • Lectures & Lab
  • Course work
  • Instructor led discussions
  • Worksite learning

VENUE OF STUDY

  • Information & Learning Center, Gulf Medical University
  • GMC Hospital, Ajman

ASSESSMENT: Continous and end of the course evaluation

For academic advising and planning of their study schedule applicants are requested to contact: The Academic Coordinator, Office of the Director, Center for Continuing Education & Community Outreach, Gulf Medical University, Al Jurf, Ajman, UAE.

Continuing Education Units:
The course has been accredited for nine continuing education (CE) units awarded by the University. Although these CE units cannot be transferred to satisfy credit requirements in any diploma or degree level courses in which the candidates may enroll at a future date, they could be counted in advancement of career by the relevant institutions.

*According to existing demand