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Best claims service representative certifications

The best certifications for a claims service representative are Certified Billing and Coding Specialist (CBCS), Associate in Claims (AIC), and Certified Medical Office Manager (CMOM).

Claims service representative certifications demonstrate your competency as a claims service representative to employers. However, not all claims service representative certifications provide the same value.

Below is a list of the best claims service representative certifications. Obtaining a claims service representative certification will give you a leg up when you apply for jobs and increase your potential salary.

3 best certifications for claims service representatives

RankClaims service representative certificationOrganization
1Certified Billing and Coding Specialist (CBCS)NHA
2Associate in Claims (AIC)The Institute...
3Certified Medical Office Manager (CMOM)PMI

3 best claims service representative 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.

Certification details
  • 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. Associate in Claims (AIC)

Certification details
  • 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
Certifying website
Associate in Claims
Certifying organization
The Institutes

3. 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.

Certification details
  • 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? 
Certifying organization
Practice Management Institute

What is the best certification for a claims service representative?

The best claims service representative 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 claims service representative 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 claims service representatives?

The most in-demand claims service representative certification is Associate in Claims based on all active job postings. Having this claims service representative certification will give you access to more claims service representative jobs with higher salaries.

Best certifications

The most common combination of claims service representative certifications include: Certified Billing and Coding Specialist (CBCS), Associate in Claims (AIC), and Certified Medical Office Manager (CMOM).

Online courses for claims service representatives to earn certifications

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3. Data Science for Healthcare Claims Data

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Customer service, customer support, and customer experience training. Loyal clients through world-class customer service...

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