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Best provider services representative certifications
The best certifications for a provider services representative are Certified Billing and Coding Specialist (CBCS), Certified Medical Administrative Assistant (CMAA), and Certified Coding Specialist (CCS).
Provider services representative certifications demonstrate your competency as a provider services representative to employers. However, not all provider services representative certifications provide the same value.
Below is a list of the best provider services representative certifications. Obtaining a provider services representative certification will give you a leg up when you apply for jobs and increase your potential salary.
8 best certifications for provider services representatives
| Rank | Provider services representative certification | Organization |
|---|---|---|
| 1 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 2 | Certified Medical Administrative Assistant (CMAA) | NHA |
| 3 | Certified Coding Specialist (CCS) | AHIMA |
| 4 | Certified Medical Office Manager (CMOM) | PMI |
| 5 | Certified Professional Coder (CPC) | AAPC |
| 6 | Certified Professional, Life and Health Insurance Program (CPLHI) | LOMA |
| 7 | HIPAA Professional (HIPAAP) | HIAA |
| 8 | Certified Planning Engineer (CPE) | AAPM |
8 best provider services 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.
- 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 Administrative Assistant (CMAA)
A Certified Medical Administrative Assistant (CMAA) performs routine administrative and clinical tasks to keep the offices and clinics of physicians running smoothly.
- 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)
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 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?
5. 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)
6. Certified Professional, Life and Health Insurance Program (CPLHI)
The Certified Professional, Life and Health Insurance Program (CPLHI) Program is a three-course education program in Bahasa Indonesia specifically designed to meet the industry education requirements of professionals in Indonesia. Recognized by the Insurance Directorate, Ministry of Finance and the Life Assurance Association of Indonesia (AAJI), who also requested LOMA create the program, the CPLHI Program provides a comprehensive business education for life and health insurance professionals.
- 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
7. 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)
8. Certified Planning Engineer (CPE)
Our AAPM Global Board of Standards issues the CPE Certified Planning Engineer - Board Certification to qualified applicants who have met our commission requirements of: Education, Training, Experience, Industry Knowledge, Ethics, and Continuing Education.
- 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 a provider services representative?
The best provider services 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 provider services 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 certifications can impact a provider services representative career and salary?
The Certified Medical Administrative Assistant certification will help you to secure a senior clerk position, which will increase your pay and career trajectory. A senior clerk's average salary is $31,905 whereas provider services representatives make an average salary of $33,858.
The most common combination of provider services representative certifications include: Certified Billing and Coding Specialist (CBCS), Certified Medical Administrative Assistant (CMAA), and Certified Coding Specialist (CCS).
Online courses for provider services representatives to earn certifications
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