Certification Prep: Health Insurance II - Medical Billing and Claims Submission
Issued by
Pearson Workforce Education
This Badge recipient has demonstrated mastery (achieving a final course score of 70% or higher) of the medical billing and claims submission process; insurance claim preparation and transmission; various types of insurance available, depending on the patient’s individual profile; various types of health care billing including Medicare and Medicaid.
Additional DetailsSkills
Earning Criteria
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Identify the correct information needed to prepare and transmit accurate, complete health care claims
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Explain the rules for eligibility and claims processing for Medicare plans
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Explain the rules for eligibility and claims processing for Medicaid plans
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Describe the background and billing and reimbursement process for Tricare, workers’ compensation, disability, and Blue Cross