This course provides a basic knowledge of the integral pieces of claims processing, patient information, the coding of that information, translating the codes to approved formats, and submitting them to the payer. Those responsible for processing claims require a thorough knowledge of the insurance industry, plan options, various carrier requirements for claims, and, of course, the state and federal regulations and rules for processing.
State and federal regulations are continually changing. This requires providers to adapt to the changes. Health Insurance Specialists are stepping in to fill the growing need for experts.