Certification: Medical Software, Insurance and Pre-authorization 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.
More information about this certification

More than two years of education or training after high school required?
No
More than two years of work experience required?
Yes
Oral or Written Exam Required?
Yes
Renewal Required?
Every 1 Year(s)
Renew through Continuing Educational Units(CEU)?
Yes
Renew through Re-Examination?
No
Renew through Continuing Professional Development(CPD)?
Yes
Does applicant have choice of at least two options from above for renewal (CEU, CPD, or exam)?
Yes

Core

  1. The certification does not have a minimum education level or has an education level below a two-year Associates of Arts or Associates of Sciences degree and the certification does not have a minimum requirement for work experience or requires two or less years of work experience.
  2. The certification has an education level of an Associates of Arts or Associates of Sciences degree or higher, but has a work experience requirement of less than 2 years of work experience.
  3. The certification has a work experience requirement of more than 2 years but does not require a two-year Associates of Arts or Associates of Sciences degree.

  • This certification is related to military occupational specialties.