Medical Billing Career Profile and Job Duties

Career Profile for Medical Billing

This 450 clock hour program requires the completion of 15 weeks of study.  This program familiarizes students with theory and hands-on skills necessary for entry-level positions in the Medical Billing and Insurance Coding field. 
Program Objectives
The program is designed to provide comprehensive training in Medical Billing and Insurance Coding.  The student will receive theory and practical training in processing payments for a medical facility.  Students will gain knowledge of ICD-9 and CPT-Plus insurance coding and billing procedures.  Students will also learn to use medical office software used to process billing claims, and will practice medical administration procedures. 
Occupational Objectives
These skills will enable graduates to qualify for entry level positions as administrative medical assistants, medical record clerks, medical office managers, medical insurance billing clerks, medical receptionists, and also work directly with physicians.   Licensure Goal/Requirements: None

Requirements for Graduation: Students must have at a minimum, an accumulative grade point average of 78% or “C” grade, along with a minimum of 70% of the total scheduled program hours attended, in order to be considered for graduation. Pass tests at end of modules and pass final exam, Internship/externship not required.

Program Length/Class Hours

Day: 6 hours a day, 5 days a week, 450 total clock hours, 15 weeks of study.

Course Title
Word Processing and Keyboarding                                 30
Introduction to Computers                                                 30
MS Word                                                                               40
MS Excel                                                                               40
Medical Terminology and Basic Anatomy                 120
Medisoft Medical Billing Software                                  80
Medical Billing and Insurance Coding                         100
Professional Development                                                 10
Total Clock Hours                                                          450

Course Description

1. Word Processing and Keyboarding - Students will learn keyboarding skills and techniques to improve keyboarding speed, they will also how to create documents on a PC and know how to edit, save, retrieve, merge and format common business documents.  Students will also learn how to add, remove and edit basic graphics and pictures on documents.  Student will also learn to create and manage a database by editing, sorting, indexing and merging files.  Finally, they will learn how to create and print reports related to specific database projects. A passing score of 78% is required for test taken at the end of this module. 

  • Introduction to Computers – Students will learn full working knowledge of a PC in a MS Windows environment, and learn how to operate MS Office programs. A passing score of 78% is required for test taken at the end of this module.   
  • MS Word – Students will learn how to use MS Word on a P.C. including how to create, store and mange documents.  Students will also learn how to use various styles, formats and insert images onto a document. A passing score of 78% is required for test taken at the end of this module.   

 

  • MS Excel – Student will learn how to create spreadsheets along with assigning particular functions to individual cells, including adding graphs, text and numerous data entry functions associated with spreadsheets. A passing score of 78% is required for test taken at the end of this module.    
  • Medical Terminology and Basic Anatomy - The student will learn the basic concepts of human anatomy, including the body as a whole, its functions, tissues and major organ systems.  The student will also learn medical terminology including areas such as pronunciation, spelling origin and construction. A passing score of 78% is required for test taken at the end of this module.

 

  • MediSoft Medical Billing Software – Students will learn how to use MediSoft billing software and how to initiate a patient record in a database.  Students will also learn how to navigate through the software and use common functions of the software for medical billing purposes. A passing score of 78% is required for test taken at the end of this module.
  •  Medical Billing and Insurance Coding – The student will learn the aspects of the collection process including collection-servicing agencies.  The student will also learn insurance programs, including; HMO, PPOS and Workers’ Compensation plans and the national coding systems used for claims processing. Students will develop speed and accuracy on the computer keyboard as well as the 10-key pad. The student will also learn how to integrate MediSoft software to process claims. A passing score of 78% is required for test taken at the end of this module.

 

  • Professional Development – Student will participate in a class review and practice professional office etiquette regarding proper office attire, professional demeanor, motivation and customer service. A passing score of 78% is required for test taken at the end of this module.

Final Examination                                                                                                                                                         A minimum passing score of 78%, or “C” grade, is required for the Final Comprehensive Examination taken at the end of this program, along with a minimum of 70% of the total scheduled program hours attended, in order to be considered for graduation.     
Program Equipment List 

  • Desktop Computer -  Dell, Intel Pentium 4, 2.8 GHZ CPU, Intel i865p/pe/6/i848p Motherboard, Graphic AGP 4x 256mb video card, Memory DDR 1536 MB x 2, 32 bit operating system Windows 7.  (Owned)
  • Computer Monitor - 17” HNC 1080x724 LCD flat panel monitor.  (Owned) 
  • Video Projector - Epson EMP-S1H 3LCD Projector, 1400 ANSI Lumens, 800 x 600 Native Resolution, 4:3 Native Aspect Ratio and 500:1 Contrast Ratio.  (Owned)
  • Stethoscope: A 5-in-1 multipurpose Quintscope: the Omron Sprague Rappaport - Type Stethoscope is designed for flexibility of clinical needs. (Owned)

PERFORMANCE FACT SHEET
2015 and 2016 Calendar Years
MEDICAL BILLING
(450 Total Clock Hours)
ON-TIME COMPLETION RATES (Graduation Rates)
Includes data for the two years prior to reporting


Calendar Year

Number of students who began program

Students available for graduation

Number of On-Time Graduates

On-Time Completion Rate

2016

2

2

0

0%

2015

 1

1

0

0%

Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information

Students Completing Within 150% of Published Program Length


Calendar Year

Number of students who began program

Students available for graduation

150% Graduates

150%
Completion Rate

2016

2

2

0

0%

2015

1

1

0

0%

Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information

JOB PLACEMENT RATES
Includes data for the two years prior to reporting


Calendar Year

Number of students who began program

Number of Graduates

Graduates available for employment

Graduates employed in the field

Placement Rate % Employed in the field

2016

2

0

0

0

0%

2015

1

0

0

0

0%

Students are entitled to a list of the job classifications considered in the field of this educational program. To obtain this list, please request from your Sutech School Placement Services representative.


 

GAINFULLY EMPLOYED CATEGORIES
Includes data for the two years prior to reporting

Part Time vs. Full Time Employment


Calendar Year

Graduates Employed in the field 20-29 hours per week

Graduates Employed in the field at least 30 hours per week

Total Graduates Employed in the Field

2016

0

0

0

2015

0

0

0

Single Position vs. Concurrent Aggregated Positions


Calendar Year

Graduates Employed in the Field in a Single Position

Graduates Employed in the field in Concurrent Aggregated Positions

Total Graduates Employed in the Field

2016

0

0

0

2015

0

0

0

 

SELF-EMPLOYED / FREELANCE POSITIONS


Calendar Year

Graduates Employed who are Self-Employed or Working Freelance

Total Graduates Employed in the Field

2016

0

0

2015

0

0

 

INSTITUTIONAL EMPLOYMENT


Calendar Year

Graduates Employed in the Field who are Employed by the Institution, an Employer Owned by the Institution, or an Employer who Shares Ownership with the Institution

Total Graduates employed in the field

2016

0

0

2015

0

0

 

Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information


 

SALARY WAGE AND INFORMATION
Includes data for the two years prior to reporting


Calendar Year

Graduates Available for Employment

Graduates Employed in Field

Annual Salary and Wage Reported for
Graduates Employed in the Field

20,001 to 25,000

25,001 to 30,000

30,001 to 35,000

35,001 to 40,000

40,001 to 45,000

45,001 or more

No Salary Information Reported

2016

0

0

0

0

0

0

0

0

0

2015

0

0

0

0

0

0

0

0

0

A list of sources used to substantiate salary disclosures is available from the school. To obtain this list, please request from your Sutech School Placement Services representative.
Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information
COST OF EDUCATIONAL PROGRAM
Total Charges for the program for students completing on-time in 2016: $5,346.00
Additional charges may be incurred if the program is not completed on-time.
Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information

Students at Sutech School of Vocational and Technical Training are not eligible for federal student loans. This institution does not meet the U.S. Department of Education criteria that would allow its students to participate in federal student aid programs.
Student Initials:________     Date:___________
Initial only after you have had a sufficient time to read and understand the information


 

This fact sheet is filed with the Bureau for Private Postsecondary Education.  Regardless of any information you may have relating to completion rates, starting salaries, or license exam passage rates, this fact sheet contains information which is calculated pursuant to state law.
Any questions a student may have regarding this fact sheet that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento California, 95833, or calling 1-888-370-7589 or by fax (916)263-1897, or by visiting www.bppe.ca.gov

I have read and understand this School Performance Fact Sheet. The School Performance Fact Sheet was reviewed and discussed with a school official prior to signing an enrollment agreement.

Student Name: _________________________________    
(Print)

Student Signature: ______________________________     Date: _________________ 

 

School Official: _________________________________     Date: _________________


 

DEFINITIONS

  • “Number of Students Who Began the Program” means the number of students who began a program who were scheduled to complete the program within 100% of the published program length within the reporting calendar year and excludes all students who cancelled during the cancellation period.
  • “Students Available for Graduation” is the number of students who began the program minus the number of students who have died, been incarcerated, or been called to active military duty.
  • “Number of On-time Graduates” is the number of students who completed the program within 100% of the published program length within the reporting calendar year.
  • “On-time Completion Rate” is the number of on-time graduates divided by the number of students available for graduation.
  • “150% Graduates” is the number of students who completed the program within 150% of the program length (includes on-time graduates).
  • “150% Completion Rate” is the number of students who completed the program in the reported calendar year within 150% of the published program length, including on-time graduates, divided by the number of students available for graduation.
  • “Graduates Available for Employment” means the number of graduates minus the number of graduates unavailable for employment.
  • “Graduates Unavailable for Employment” means the graduates who, after graduation, die, become incarcerated, are called to active military duty, are international students that leave the United States or do not have a visa allowing employment in the United States, or are continuing their education in an accredited or bureau-approved postsecondary institution.
  • “Graduates Employed in the Field” means graduates who beginning within six months after a student completes the applicable educational program are gainfully employed, whose employment has been reported, and for whom the institution has documented verification of employment. For occupations for which the state requires passing an examination, the six months period begins after the announcement of the examination results for the first examination available after a student completes an applicable educational program.
  • “Placement Rate Employed in the Field” is calculated by dividing the number of graduates gainfully employed in the field by the number of graduates available for employment.
  • “Number of Graduates Taking Exam” is the number of graduates who took the first available exam in the reported calendar year. 

 

  • “First Available Exam Date” is the date for the first available exam after a student completed a program.
  • “Passage Rate” is calculated by dividing the number of graduates who passed the exam by the number of graduates who took the reported licensing exam.
  • “Number Who Passed First Available Exam” is the number of graduates who took and passed the first available licensing exam after completing the program.
  • “Salary” is as reported by graduate or graduate’s employer.
  • “No Salary Information Reported” is the number of graduates for whom, after making reasonable attempts, the school was not able to obtain salary information.

 

STUDENT’S RIGHT TO CANCEL
In order to be eligible for a refund students attending Sutech School of Vocational and Technical Training must meet criteria that is outlined in our Refund Policy detailed below:

A student has the right to cancel the enrollment agreement and obtain a refund to the paying entity of charges paid through attendance at the first class session, or the seventh day after enrollment, whichever is later.  If a student is rejected for training or if a course is canceled, the paying entity will receive a refund of all monies paid within 45 days.  A Student may withdraw from school at any time and the paying entity will receive a refund of any paid but unused tuition.  If a Student withdraws or is suspended or expelled after the aforementioned 7 day period for cancellation, all tuition and fees (i.e., educational costs), less a registration fee not to exceed $75 shall be refunded on a pro-rata basis. Cancellation shall occur when you provide notice to the institution. Notice must be provided in writing form in person or by mail at 3455 E. Olympic Blvd., Los Angeles, CA 90023; or by fax (323) 262-0459; phone or email notice will not be accepted.

If the Student has received federal student financial aid funds, the student is entitled to a refund of moneys not paid from federal student financial aid program funds.
The college shall refund 100 percent of the amount paid for institutional charges, less the registration fee or unreturned books/materials fee not to exceed seven hundred fifty dollars ($750), if notice of cancellation is made through attendance at the first class session, or the seventh class day after enrollment, whichever is later.

The college also provides a pro-rata refund policy for the return of unearned institutional charges if the student cancels an enrollment agreement or withdraws during a period of attendance and has completed 60 percent or less of the period of attendance in their program.

The pro rata refund shall be no less than the total amount owed by the student for the portion of the educational program provided subtracted from the amount paid by the student or the paying entity, calculated as follows:
(1) The amount owed equals the daily charge for the program (total institutional charge, divided by the number of days or hours in the program), multiplied by the number of days student attended, or was scheduled to attend, prior to withdrawal.
(2) Except as provided for in subdivision (3), all amounts paid by the student in excess of what is owed as calculated in subdivision (1) shall be refunded.
(3) Except as provided herein, all amounts that the student or the paying entity has paid shall be subject to refund excluding the seventy five dollar ($75.00) registration fee, Student Tuition Recovery Fund fee, and any unreturned/used books, supplies or equipment.  This non-refundable amount shall not total more than seven hundred and fifty dollars ($750.00).  Books, supplies and equipment are considered non-refundable once they have been opened or used.

 

 

If the school has collected money from a student for transmittal on the student's behalf to a third party for a bond, library usage, or fees for a license, application, or examination and the institution has not paid the money to the third party at the time of the student's withdrawal or cancellation, the institution shall refund the money to the student within 45 days of the student's withdrawal or cancellation.

The school shall refund any credit balance on the student's account within 45 days after the date of the student's completion of, or withdrawal from, their educational program in which they were enrolled.  For purposes of this section "day" means calendar day.

If you, the student, defaults on a federal or state loan, both of the following may occur:

  • The federal or state government or a loan guarantee agency may take action against you, the student, including garnishing an income tax refund; and/or
  • You, the student, may not be eligible for any other government financial assistance at another institution until the loan is repaid.

 

“YOU MAY ASSERT AGAINST THE HOLDER OF THE PROMISSORY NOTE YOU SIGNED IN ORDER TO FINANCE THE COST OF THE EDUCATIONAL PROGRAM ALL OF THE CLAIMS AND DEFENSES THAT YOU COULD ASSERT AGAINST THIS INSTITUTION, UP TO THE AMOUNT YOU HAVE ALREADY PAID UNDER THE PROMISSORY NOTE”

 

 

Student Signature: ____________________________________________   Date: _______________________