Certified Healthcare Reimbursement Specialist Certification & Job Facts

A certified healthcare reimbursement specialist ensures that health practitioners get paid. Read on to find out more about job duties, education options and certification requirements. Schools offering Insurance Billing & Coding Specialist degrees can also be found in these popular choices.

What Would My Job Duties as a Certified Healthcare Reimbursement Specialist Be?

You properly code health diagnoses and managing the payment process for medical practitioners and facilities. You combine your knowledge of medical terminology and medical information technology to ensure that proper procedures and laws are followed to manage patient privacy while healthcare practitioners are reimbursed. You must also have the communications skills to interact with patients to address sensitive matters such as their health and finances.

What Is the Process for Becoming Certified?

The American Medical Billing Association offers the credential of a Certified Healthcare Reimbursement Specialist (CMRS) to members only. You must correctly answer at least 85% of the 800 questions to become certified. The exam is administered online. You must also maintain your membership within the organization and take 15 continuing education credits per year to maintain your certification.

What Degree Program Can Help Prepare Me for the Exam?

At a minimum, you can pursue a certificate in medical coding and reimbursement. Your coursework should include subjects covered within the 16 sections of the exam, including medical terminology, insurance, fraud, managed care, anatomy and physiology. Your program introduces you to multiple systems of coding including ICD, CPT and HCPCS. You also learn about electronic health records and insurance processing. The curriculum for a healthcare reimbursement certificate program can overlap with the coursework for other degree programs, including health information technology and healthcare administration.

What Career Opportunities Exist?

You can work in hospitals, insurance companies or private physicians' offices. Often your coursework will cover criteria that make you eligible for other certifications from the American Health Information Management Association and the American Academy of Professional Coders. In addition, medical reimbursement is one of the responsibilities of medical office administrators and health information administrators. You can build on your certification and eventually run a medical office.

To continue researching, browse degree options below for course curriculum, prerequisites and financial aid information. Or, learn more about the subject by reading the related articles below:

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