Hometown Health University welcomes you to our online PFS/Billing Specialist Certification (BSC) Program. This certification is the second level of training for hospital billers, after the Billing Certification. This certification includes more advanced billing courses designed to offer you more in depth knowledge of the association between billing, medical terminology, denial management, policy and procedure, and basic coding. Considering the constant changes in the medical world, these courses will give you the tools you will need to stay current with billing specifications and help you obtain maximum reimbursement from your payers. This certification is the financial key to your facility’s revenue cycle management success.

Once you complete this certification, make sure to watch for new courses that will keep you up to date with the on-going changes in the reimbursement world.

This is a 6 week certification. You will have 50 days to complete the certification in its entirety.

Upon the completion of this certification, you will be able to:
- Effectively collect payments from insurance companies and follow up on claims more efficiently
- Read Remittance Advices from multiple payers, decide which information needs to be posted into a patient’s account, research credit balances on your patients' accounts with a focus on Medicare Credit Balance
- Explain how denials affect most every department in your facility, set up your own Denial Management Team, and utilize the appeal process more effectively
- Decipher more medical terms, complete Fahrenheit to Celsius conversions, and utilize conversion tables from metric to non-metric
- Learn why, when and how codes are applied, demonstrate how to connect coding to reimbursement, and understand how medical necessity and coding go hand-in-hand
- Identify the most commonly used modifiers and know when and how to use them as well as explain how utilizing modifiers can affect your reimbursement
- Utilize the billing and coding rules for initial, sequential and concurrent injections and infusions
- Review the different models available for E/M assignment
- Establish new and update existing policies and procedures in your business office
*Learning outcomes are described in more detail, per course, on the Completion Form.

In order to receive your PFS/Billing Specialist Certification, along with 1 CEU/10 credit hours, you must complete all of the required courses listed here and all assignments within each course.

Required Courses:
0) PFS/Billing Specialist Certification Introduction
1) Insurance Follow-up
2) Remittance Advice, Cash Posting & Credit Balances
3) Denial Management
4) Medical Terminology II
5) Coding for the Non-coder
6) Medicare Modifiers
7) Billing & Coding for IV Drug Administration
8) Evaluation and Management Services
9) Business Office Policy & Procedure
10) PFS/Billing Specialist Certification (FINAL)

PREREQUISITE: You must complete the Billing Certification (BC) before taking this PFS/Billing Specialist Certification. You will not be allowed to pass this certification until you have completed Billing Certification, which can be found in the Course Catalog.

Cost: $149.00