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Best provider enrollment specialist certifications

Provider enrollment specialist certifications allow job seekers to demonstrate their competency as an provider enrollment specialist to employers. However, not all provider enrollment specialist certifications provide the same value for job seekers.

The best certifications for a provider enrollment specialist are Certified Billing and Coding Specialist (CBCS), Certified Nurse Assistant (CNA), and Certified Coding Specialist (CCS).

Below is a list of the best provider enrollment specialist certifications. Obtaining an provider enrollment specialist certification will give you a leg up when you apply for jobs and increase your potential salary.

5 best certifications for provider enrollment specialists

5 best provider enrollment specialist 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. Certified Nurse Assistant (CNA)

Train to be a certified nurse assistant working with other health care professionals to provide quality care for elderly or sick individuals in nursing homes and hospitals and at home.

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 website
Certified Nurse Assistant

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.

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? Every 3 year(s)

4. Certified Pharmacy Technician (CPhT)

PTCB's pharmacy technician certification program enables technicians to work more effectively with pharmacists to offer safe and effective patient care and service. Certification is achieved by meeting specific eligibility requirements and earning a passing score on the Pharmacy Technician Certification Exam (PTCE). The PTCB certification program is accredited by the National Commission for Certifying Agencies (NCCA).

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? Every 2 year(s)
Course that help you to prepare for certification
Become a Pharmacy Technician
udemy
4.7
(2,374)

5. 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 provider enrollment specialist?

The best provider enrollment specialist 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 provider enrollment specialist 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.
Best certifications

The most common combination of provider enrollment specialist certifications include: Certified Billing and Coding Specialist (CBCS), Certified Nurse Assistant (CNA), and Certified Coding Specialist (CCS).

Online courses for provider enrollment specialists to earn certifications

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