Medical Billing Career Prep

330 Hours / 12 Months / Self-Paced

Course Overview:

With the Medical Billing program, you will gain the skills you need to enter one of the fastest-growing fields in allied health as a medical billing specialist. In this program, you will gain hands-on, practical experience working with the main coding manuals in the field, the ICD-9-CM and the CPT. In addition, you will be introduced to the new ICD-10-CM diagnosis coding system. You will also master the legal, ethical, and regulatory concepts that are central to this field.

About ProTrain:

ProTrain is committed to offering world class interactive online courses that provide training and learning support for the student in a number of ways during their experience. The ProTrain course structure has been developed to provide activities to guide students throughout the entire process of learning. Learning activities include hands-on assignments that allow students to use what they are learning to allow better transferable skills within their work environments; and collaborative assignments, like wikis and discussion groups that allow them to share what they have learned with others in the same course.

While a student learns, they are not alone. Each student will receive guidance and support from his or her assigned Training Assessment Manager (TAM) and Student Services Specialist (SSS) representative. In addition, we will offer live monthly webinars and feedback sessions for various subject categories. Throughout the entire course, students are monitored by the SSS representative using progress reporting from the ProTrain Registration System (PRS).

ProTrain will provide Students who successfully complete their online certification programs and pass their industry level certification exams the access to the new ProTrain Education-2-Employment Career Tracker system. The Career Tracker will allow our students who pass exams to load their own resumes at no additional cost, and letting industry employers find their talent through the same database.

Curriculum Developer Biography:

Dana Bernard is a Registered Nurse, credentialed teacher and master's prepared business professional. She has 30 years of curriculum development and training experience in the healthcare, business and educations arenas. Dana's training sessions are based on cutting edge content designed to help people make their greatest contribution.

Course Outline:

Medical Billing

Lesson 1: Role of the Insurance Specialist

Lesson 2: Compliance, Privacy, Fraud and Abuse in Insurance Billing

Lesson 3: Basics of Health Insurance

Lesson 4: Medical Documentation and the Electronic Health Record

Lesson 5: Diagnostic Coding

Lesson 6: Procedural Coding

Lesson 7: The Paper Claim CMS-1500

Lesson 8: The Electronic Claim

Lesson 9: Receiving Payments and Insurance Problem Solving

Lesson 10: Office and Insurance Collection Strategies

Lesson 11: The Blue Plans, Private Insurance and Managed Care Plans

Lesson 12: Medicare

Lesson 13: Medicaid and Other State Programs

Lesson 14: TRICARE and Veterans’ Healthcare

Lesson 15: Worker’s Compensation

Lesson 16: Disability Income Insurance and Disability Benefit Programs

Lesson 17: Hospital Billing

Lesson 18: Seeking a Job and Attaining Professional Advancement

All necessary materials are included.

Certification(s):

This course prepares students to take the National Healthcareer Association Certified Billing and Coding Specialist (CBCS) certification exam.


System Requirements:

Internet Connectivity Requirements:
  • Cable and DSL internet connections are recommended.

Hardware Requirements:
  • Minimum Pentium 400 Mhz CPU or G3 Macintosh. 1 GHz or greater CPU recommended.
  • 256MB RAM minimum. 1 GB RAM recommended.
  • 800x600 video resolution minimum. 1025x768 recommended.
  • Speakers/Headphones to listen to Dialogue steaming audio sessions.
  • A microphone to speak in Dialogue streaming audio sessions.
Operating System Requirements:
  • Windows Vista, 7, 8, 8.1, 9, 10
  • Mac OSX 10 or higher.
  • OpenSUSE Linux 9.2 or higher.
Web Browser Requirements:
  • Google Chrome is recommended.
  • Firefox 13.x or greater.
  • Internet Explorer 6.x or greater.
  • Safari 3.2.2 or greater.
Software Requirements:
  • Adobe Flash Player 6 or greater.
  • Oracle Java 7 or greater.
  • Adobe Reader 7 or greater.
Web Browser Settings:
  • Accept Cookies
  • Disable Pop-up Blocker.


**Outlines are subject to change, as courses and materials are updated.**