Maricopa Community Colleges  HSE126   20046-99999 
Official Course Description: MCCCD Approval: 05/25/04
HSE126 20046-99999 LEC 1 Credit(s) 1 Period(s)
Medical Accounts Receivable Clerk Fundamentals
Training and responsibilities of an accounts receivable follow-up clerk in the medical practice setting. Patient data management and medical terminology as it relates to complete service billing and claim follow-up process. Accounts receivable follow-up management and the appeals process. Certifications and affiliations in medical billing and coding. Provisions and penalties of the Health Insurance Portability and Accountability Act (HIPAA). Prerequisites: None.
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MCCCD Official Course Competencies:
 
HSE126   20046-99999 Medical Accounts Receivable Clerk Fundamentals
1. Explain the importance of the accounts receivable process in medical office management. (I)
2. Describe the job description, responsibilities and training for an accounts receivable follow-up clerk. (I)
3. Explain the importance of patient data management in the billing process. (II)
4. Appropriately use medical terminology as it relates to the billing process. (II)
5. Understand and use diagnosis and service coding relating to the billing process. (II)
6. Describe the importance of developing relationships with insurance carriers and understanding their appeals process. (II)
7. Describe HIPAA provisions and penalties for inappropriate data disclosure. (II)
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MCCCD Official Course Outline:
 
HSE126   20046-99999 Medical Accounts Receivable Clerk Fundamentals
    I. Job Preparation of the Accounts Receivable Follow-up Clerk
        A. Accounts receivable function
        B. Job description and responsibilities of the accounts receivable follow-up clerk
        C. Required training for the accounts receivable follow-up clerk
        D. Professional affiliations and certifications
      II. Medical Accounts Receivable Follow-up Process
          A. Patient data management – electronic medical record
          B. Medical terminology
          C. Relationships with insurance carriers
          D. Carrier appeals process
          E. HIPAA
            1. Provisions
            2. Disclosure penalties
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