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Best Claim Processor certifications
The best certifications for a claim processor are Certified Billing and Coding Specialist (CBCS), Certified Medical Office Manager (CMOM), and Associate in Claims (AIC).
Claim processor certifications demonstrate your competency as a claim processor to employers. However, not all claim processor certifications provide the same value.
Below is a list of the best claim processor certifications. Obtaining a claim processor certification will give you a leg up when you apply for jobs and increase your potential salary.
20 best certifications for claim processors
20 best claim processor certifications
1. Certified Billing and Coding Specialist (CBCS)
A Certified Billing and Coding Specialist (CBCS) primarily focuses on converting a medical procedure, diagnosis, or symptom into specific codes to submit a claim for reimbursement.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or Written Exam Required? Yes
- Renewal Required? Every 2 year(s)
2. Certified Medical Office Manager (CMOM)
Experienced medical office professionals with exceptional administrative skills are eligible to sit for the Certified Medical Office Manager (CMOM) exam. To attain CMOM certification, all candidates must demonstrate a high level of knowledge in financial management, managed care contracting, personnel, and time management. Risk management, medical record keeping and facility management issues should also be mastered.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
3. Associate in Claims (AIC)
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? No
4. Certified Coding Specialist (CCS)
Coding accuracy is highly important to healthcare organizations, and has an impact on revenues and describing health outcomes. In fact, certification has become an implicit industry standard. Accordingly, the CCS credential demonstrates a practitioner's tested data quality and integrity skills, and mastery of coding proficiency. Professionals experienced in coding inpatient and outpatient records should consider obtaining this certification.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 3 year(s)
5. Dental Assistant (RDA)
A Dental Assistant is an integral member of the dental health team, competent via education, experience, and understanding of patient welfare. The Dental Assistant is qualified to provide support in administrative duties: chairside, laboratory, and radiological procedures, as defined by existing state laws. As an agent of the Dentist, the Dental Assistant strives to cultivate good will and confidence within the dental practice.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or Written Exam Required? Yes
- Renewal Required? Every 3 year(s)
6. Associate in General Insurance (AINS)
Accelerate your career in insurance with the new Associate in General Insurance (AINS) designation. The AINS courses provide you with a comprehensive knowledge of insurance principles, practices, policies, and coverages, while the optional electives allow you to focus on areas relevant to your professional goals.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
7. Certified Professional Coder (CPC)
A Certified Professional Coder (CPC) is an individual of high professional integrity who has passed a coding certification examination sponsored by the American Academy of Professional Coders (the AAPC). The examination consists of questions regarding the correct application of CPT, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 2 year(s)
8. Chartered Property Casualty Underwriter (CPCU)
More than 65,000 people have earned the CPCU professional designation. They are claim adjusters, underwriters, risk managers, brokers, agents, regulators, consultants, attorneys, and educators. CPCU is respected as the premier designation in property-casualty insurance, and holding this designation immediately identifies you as a knowledgeable and dedicated professional.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or Written Exam Required? Yes
- Renewal Required?
9. Medical Administrative Specialist (CMAS)
This certification is for medical administrative specialists who serves a key role in medical office, clinic and hospital settings. This multi-skilled practitioner is competent in medical records management, insurance processing, coding and billing, management of practice finances, information processing, and fundamental office management tasks. A medical administrative specialist is very familiar with clinical and technical concepts required to coordinate administrative office functions in the healthcare setting.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 3 year(s)
10. Certified Medical Insurance Specialist (CMIS)
Experienced medical office professionals with exceptional coding, reimbursement and claims management skills are eligible to sit for the Certified Medical Insurance Specialist (CMIS) exam. Practice Management Institute® has helped raise the bar of knowledge with its CMIS credential, designed to demonstrate outstanding skill in outpatient claims and reimbursement.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
11. HIPAA Professional (HIPAAP)
The Center's HIPAAP designation imparts the knowledge you'll need to attain the goal of becoming a HIPAA privacy officer-focusing in on the administrative simplification provisions, particularly the policies and procedures that providers and organizations need in place to comply with privacy and security standards. This program will provide you with a solid grounding in HIPAA terminology, as well as the implications of HIPAA for the insurance industry.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 2 year(s)
12. Certified Medical Coder (CMC)
Experienced medical office professionals with exceptional coding skills are eligible to sit for the Certified Medical Coder (CMC) exam. Practice Management Institute has helped raise the bar of knowledge with its CMC credential, designed to help physicians and their staff ensure ample training in outpatient coding.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
13. Nationally Certified Medical Office Assistant (NCMOA)
Medical Office Assistants typically perform administrative duties for health care providers in office settings, although some may also perform basic clinical tasks (as allowed by state laws). Their responsibilities will vary by employer, but may include answering telephones, greeting patients, updating and filing medical records, completing insurance forms, handling correspondence, scheduling appointments, and handling billing or bookkeeping.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 1 year(s)
14. Registered Health Information Technician (RHIT)
With experience, the RHIT credential holds solid potential for advancement to management positions, especially when combined with a bachelor's degree. Although most RHITs work in hospitals, they are also found in other healthcare settings including office-based physician practices, nursing homes, home health agencies, mental health facilities, and public health agencies. In fact, RHITs may be employed in any organization that uses patient data or health information, such as pharmaceutical companies, law and insurance firms, and health product vendors.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 3 year(s)
15. Certified Medical Manager (CMM)
Becoming a Certified Medical Manager means that you have Completed the process of certification, including submitting an application and passing a written examination that qualifies both your experience and knowledge within the ambulatory health care delivery environment. Made a commitment to the pursuit of excellence in health care office management through continual education and association within the profession of health care office management.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or Written Exam Required? Yes
- Renewal Required? Every 2 year(s)
16. California Workers Compensation Claims Professional (WCCP)
Delivered as an online self-study or instructor-led program, the California Workers Compensation Claims Professional (WCCP) designation program provides a thorough grounding in principles and theories that can be applied directly to your daily job functions. Plus, earning the WCCP designation brings recognition to you as a professional in the field of workers compensation.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? No
17. Certified Medical Reimbursement Specialist (CMRS)
Certified Medical Reimbursement Specialists (CMRS) are skilled in facilitating the claims paying process from the time a service is rendered by a health care provider until the balance is paid. The CMRS is knowledgeable in ICD9, CPT4 and HCPCS Coding, Medical Terminology, Insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG Compliance, information and web technology, reimbursement, and much more. CMRS Billers play a critical role in a health care provider's daily business operations.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 1 year(s)
18. Associate, Life and Health Claims (ALHC)
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
19. Associate in Insurance Services (AIS)
The Associate in Insurance Services program is a nationally recognized educational program designed specifically for insurance personnel. By completing the AIS program, you'll gain a basic understanding of continuous improvement principles that will help you attract new clients while retaining current customers. Plus, the AIS program provides you with several completion options so that you can customize the program to meet your specific technical insurance knowledge needs.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required?
20. Certified Medical Interpreter - Spanish (CMI)
The mission of the National Board is to foster improved healthcare outcomes, patient safety and patient/provider communication, by elevating the standards for and quality of medical interpreting through a nationally recognized and accredited certification for medical interpreters.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or Written Exam Required? Yes
- Renewal Required? Every 5 year(s)
What is the best certification for a claim processor?
The best claim processor certification is Certified Billing and Coding Specialist (CBCS). The Certified Billing and Coding Specialist (CBCS) is awarded by the National Healthcareer Association. This certification is great to have as it shows an improvement in your competency to perform your role. You can earn this certification at the beginning of your career, as it often doesn't require a minimum education level and work experience.
Here's a bit more background on how to obtain this claim processor certification:
- To become a certified Certified Billing and Coding Specialist (CBCS), you need to pass the exam.
- This certificate requires more than two years of work experience.
- Renew certification every 2 year.
What are some of the most in-demand certifications for claim processors?
The most in-demand claim processor certification is Certified Professional Coder based on all active job postings. Having this claim processor certification will give you access to more claim processor jobs with higher salaries.
What certifications can impact a claim processor career and salary?
The Associate in Claims certification will help you to secure a senior claims examiner position, which will increase your pay and career trajectory. A senior claims examiner's average salary is $51,749 whereas claim processors make an average salary of $41,201.
The most common combination of claim processor certifications include: Certified Billing and Coding Specialist (CBCS), Certified Medical Office Manager (CMOM), and Associate in Claims (AIC).
Online courses for claim processors to earn certifications
1. Health Information Literacy for Data Analytics
This Specialization is intended for data and technology professionals with no previous healthcare experience who are seeking an industry change to work with healthcare data. Through four courses, you will identify the types, sources, and challenges of healthcare data along with methods for selecting and preparing data for analysis. You will examine the range of healthcare data sources and compare terminology, including administrative, clinical, insurance claims, patient-reported and external...
2. Customer Service Fundamentals
There are a growing number of exciting, well-paying jobs in today’s tech industry that do not require a traditional college degree, an one of the hottest areas with high demand is in IT customer service and support. Customer Service is a perfect entry point to start your career in IT, with a multitude of job openings ranging from onsite or remote help desk work to customer care or client support. We can help you get there with the Customer Service Fundamentals course. We will help you to build...
3. Construction Claims Management
This Master Course will provide you with a professional claims management system for all your construction projects...
4. Construction Claims Management - (9 PDUs)
Construction Claims Management ... Step-by-step from Definition to Submital...
5. Contracts, Delays and Claims with Primavera P6
Learn all about Contracts, Delays & Claims along with practical Delay Analysis using Primavera P6 software...
6. Data Science for Healthcare Claims Data
Learn and practice how to transform raw healthcare claims data into valuable knowledge and actionable insights!...
7. Construction: Pricing Extension of Time Claims: Vol 1 of 2
This course provides professional training on the preparation of Quantum calculations for Extension of Time claims...
8. Construction Claims - Master Foundation Course
The perfect course for any construction professional looking to gain a firm understanding of construction claims...
9. ICD 10 & 11 Medical Coding and Billing
Preparation for Medical Coding Certification Exam...
10. Quantity Surveying Templates for Effective Cost Management
Quantity Surveying, Payment Application, Payment Tracker, Variation, Claim, Material Claim, Guarantees, Price Comparison...
11. Become a Mortgage Loan Processor
Finibi Mortgage CEO, Joe Correa, teaches you how to become a mortgage loan processor...
12. Get to Know Your Food: Claims, Labels & Ingredients
Learn how to make the healthiest and best food choices amidst processed and packaged foods...
13. Complete Contract Management Bootcamp: Zero to Hero
Learn essential post-contract management principles and practices, and gain access to over 30 free MS tools...
14. Advanced Mortgage Loan Processor: Essential Skills Training
Finibi Mortgage CEO, Joe Correa, teaches you how to take your mortgage loan processor career to the next level...
15. Medical Coding: ICD-10-CM Diagnosis Code Training
Learn medical coding and prepare yourself for today's healthcare workplace...
16. Construction Delay Analysis Techniques (Incl. TIA) - MSP
MS Project Based Construction Delay Analysis Training By N.M.Raj, An Internationally Renowned Claims Consultant...
17. Time Impact Analysis (SCL/ AACE): Primavera (Construction)
Construction Delay Analysis Based On The SCL Protocol & AACE 29R-03 (Includes Primavera P6 V17 Software Installation)...
18. Medical coding for U.S. healthcare industry
Jump start your career in the fastest growing career choice in the healthcare industry...
19. Customer Service & Support For Customer Service Executives
Learn Customer Service Skills & Provide Excellent Customer Support, Customer Experience & How To Manage Upset Customers...
20. Customer Service Foundation
An introductory course about understanding the foundations of Customer Service...