The Certified Professional Biller (CPB) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and payer requirements, reimbursement may difficult. Medical Billers have proven knowledge of how to submit claims in accordance with government regulations and private payer policies, follow-up on claim statuses, resolution of claim denials, appeals submission, posting of payments and adjustments, and collections management.
The medical biller processes and follows up on claims sent to commercial or federal payers for reimbursement of services provided by the healthcare organization. A biller regularly communicates with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.

• Application of payer policy, Local Coverage Determinations (LCD), and National Coverage
Determinations (NCD) for successful claim submissions
• Knowledge of CPT®, ICD-10-CM, and HCPCS Level II coding guidelines
• Successful navigation of the varying rules and regulations applying to the healthcare industry, including
HIPAA, False Claims Act, Fair Debt Collections Act, and Stark
• Understanding of the life cycle of a medical billing claim and how to improve the revenue cycle
• Integrated adult basic education (reading, writing & math) with professional instructors is to provide
basic education and workforce together.
• We will integrate all levels of basic education to the technical programs: Purpose – to help provide postsecondary education and help the students become marketable and enter the healthcare workforce.
• During the ABE course the students will improve their basic reading and writing and math skills using
materials related to the health care industry.