Certified Medical Software/Insurance/Pre-authorization Specialist
BECOME A MEDICAL SOFTWARE INSURANCE/PREAUTHORIZATION Specialist
Medical Software, Insurance and Pre-authorization Specialist work in physicians’ offices, hospital, urgent care center, billing companies, insurance companies and many more places. Their main duty is to input data into the Medical Billing Software to process the claims for reimbursements. Moreover, they must have an understanding on various types of insurances and the procedures to billing for the services rendered to the patient, apart from this their other main duty includes verifying insurance benefit eligibility and obtaining pre-authorization for services.
Candidates registering for the exam must qualify in (at-least 1) of the GROUPS (A or B or C) as shown below. Training and experience may be completed within united states of america or outside united states of america.
Exam Test Plan
The exam content topic includes the following:
Revenue Cycle Management
Medical Billing Software
Insurance (Medicare, Medicaid, Tricare, BCBS, Workers Comp)
AECA believes in continuing education more frequently so that the candidate can have a constant touch with knowledge, Candidate’s are required to attend the continuing education units / credits every year to renew their certification.