A competent medical biller helps to alleviate the stresses and strains that health care professionals face on a daily basis and is a critical component to the successful health care providers’ business. Preparing to become a skilled and knowledgeable medical biller often means taking and passing a national medical biller specialist examination.
Definition of Certified Medical Biller
A certified medical biller is an individual who has voluntarily taken and passed a national examination and has been certified to have the proper training and knowledge in health care insurance, medical terminology, anatomy and physiology, medical billing and coding. Medical billers use knowledge and administrative skills to keep accurate records, bill insurance companies, and collect fees due on behalf of physicians and medical care providers for services provided to patients.
Benefits of Certification
According to the National Health Career Association (NHA), certified medical billing specialists have a higher chance of finding employment as most hospitals, private practices, organizations, and unions require certification in the field. They may command a higher salary, job security and career advancement and gain credibility in the industry. Certification lends credibility to billing professionals in obtaining clients to successfully operate a home-based medical billing business.
Certified Billing And Coding Specialist (CBCS) Examination
The NHA offers the Certified Billing and Coding Specialist (CBCS) examination for allied health care professionals. After registration and payment of $105 confirmation, downloaded study material is available to students. Administered at a certified testing site by a proctor, the exam has 100 questions, may be completed with a No. 2 pencil on an answer sheet or online, within five hours. Online candidates get instant results, and all candidates with a passing grade of at least 70 percent receive certificates in about 21 days.
Certified Medical Reimbursement Specialist (CMRS) Examination
The American Billing Association (AMBA) offers the Certified Medical Reimbursement Specialist (CMRS) exam to individuals who hold a high school diploma and are members of the AMBA. Divided into 16 units, with more than 800 answers, students may complete the exam one section at a time within 45 days through AMBA’s online Learning Management System. They receive instant grades and certificates arrive within five business days. The cost is $325, and students may access the e-book study material for $199. The passing grade is 85 percent.
Components of the Study Guide and Exam
The study material incorporates actual questions taken from previous exams. Topics covered in the study guide and exam include medical terminology, insurance principles and terms, diagnosis and procedures coding, law, compliance and ethics, medical documentation, International Classification of Diseases, Clinical Modification: ICD-9-CM, CPT-4 coding, claims processing and analysis of cases, federal and state programs, disability and liability insurance and other types of plans.
The NHA requires certified billers to earn five credits and pay $159 to maintain certification through an annual continuing education program. The AMBA requires CMRS to earn an annual 15 continuing education units (CEUS).