Explore jobs
Find specific jobs
Explore careers
Explore professions
Best companies
Explore companies
Best insurance claims processor certifications
Insurance claims processor certifications allow job seekers to demonstrate their competency as an insurance claims processor to employers. However, not all insurance claims processor certifications provide the same value for job seekers.
The best certifications for an insurance claims processor are Certified Billing and Coding Specialist (CBCS), Certified Medical Office Manager (CMOM), and Certified Coding Specialist (CCS).
Below is a list of the best insurance claims processor certifications. Obtaining an insurance claims processor certification will give you a leg up when you apply for jobs and increase your potential salary.
4 best certifications for insurance claims processors
| Rank | Insurance claims processor certification | Organization |
|---|---|---|
| 1 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 2 | Certified Medical Office Manager (CMOM) | PMI |
| 3 | Certified Coding Specialist (CCS) | AHIMA |
| 4 | Certified Clinical Medical Assistant (NHA) | NHA |
4 best insurance claims 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. 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)
4. Certified Clinical Medical Assistant (NHA)
A Certified Clinical Medical Assistant is an unlicensed multi-skilled healthcare practitioner who is competent in both a wide variety of clinical and laboratory procedures, as well as many administrative roles. A CCMA may perform some or all of the following duties. However, they are not limited to just these responsibilities:Interviews patients and measures vitals signsPrepares treatment roomsGives injections or treatments and performs venipuncture and laboratory testsCleans and sterilizes equipment.
- 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)
What is the best certification for an insurance claims processor?
The best insurance claims 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 insurance claims 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.
The most common combination of insurance claims processor certifications include: Certified Billing and Coding Specialist (CBCS), Certified Medical Office Manager (CMOM), and Certified Coding Specialist (CCS).
Online courses for insurance claims 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. Operations and Patient Safety for Healthcare IT Staff
Now that you've been introduced to the world of Health IT and the important role played by electronic health records (EHRs), we'll focus on other technologies that play a role in maintaining ongoing operations in healthcare. Telemedicine, patient portals, barcode scanners, printers, and medical devices are just some of the technologies that impact providers and patients. As an IT support specialist, you’ll be asked to troubleshoot issues with a wide variety of tools. You'll see a scenario with...
3. Fundamentals of Insurance - 2
Part 2...
4. Fundamentals of Insurance - 1
Part 1...
5. Excel Skills for Insurance Professionals
From Vlookups to Pivot Tables: Learn the Excel basics anyone working in the insurance industry needs to know!...
6. Data Science for Healthcare Claims Data
Learn and practice how to transform raw healthcare claims data into valuable knowledge and actionable insights!...
7. ICD 10 & 11 Medical Coding and Billing
Preparation for Medical Coding Certification Exam...
8. Understanding HIPAA Compliance
This course helps you understand the various rules under HIPAA and how to be compliant with that...
9. HIPAA Compliance Complete Course
Protecting Patients and Practices...
10. Understanding HIPAA for the Medical Office
A healthcare professional's guide to understanding the requirements HIPAA...
11. Practical Aspects of Information System Audit (For Beginner)
Practical Aspects of Information System Audit (For Beginners)...
12. Understanding and Complying with HIPAA
This program will train you on the HIPAA and provide an overview on the rules governing protected health information...
13. Health Data 101
An Introduction to Health Data for data analysts...
14. Construction Claims Management
This Master Course will provide you with a professional claims management system for all your construction projects...
15. Construction Claims Management - (9 PDUs)
Construction Claims Management ... Step-by-step from Definition to Submital...
16. Blockchain applications in Food Safety, Healthcare & Pharma
Best course to learn about Blockchain Business Applications in Pharma, Food Safety, Healthcare and Insurance Industries...
17. Forensic accounting, fraud investigation and fraud analytics
The 14 hour course(50casestudies) helps to understand fraud examination, forensic audit,financial crime, data analytics...
18. Embedded Systems Programming on ARM Cortex-M3/M4 Processor
With hands on coding using C Programming and assembly on ARM Cortex M Processor based Microcontroller...
19. Medical coding for U.S. healthcare industry
Jump start your career in the fastest growing career choice in the healthcare industry...
20. Certified Electronic Health Records Specialist
Health Information Technology HIT...