Enhance your professional skills.

Increase your opportunities.

Medical insurance specialists handle health insurance billings and payments. They work with insurers, coding specialists, doctors, and healthcare providers to clarify diagnoses and patient treatments. By applying their knowledge of billing rules and procedures, these specialists ensure that claims are accurate and compliant, so that the medical practice receives the correct reimbursement for the services it provides.

Discover Your
New Career

FAQ'S

  • How can I send a copy of my official transcripts to another organization?

    To access your transcripts, log into the SOLAR System, select the Star System and select the Academic Office. Once there, click on the transcripts link.

  • Is Baker accredited?

    Yes. Baker College is accredited by The Higher Learning Commission / 230 South LaSalle St., Suite 7-500, Chicago, IL 60604-1411 / 800-621-7440 / www.ncahlc.org.

    Baker College is an Academic Quality Improvement Program (AQIP) participant.

    Additional Accreditations

    Baker has also earned specialized accreditations for programs and degrees in: 

    • Business Administration
    • Early Childhood Learning
    • Engineering and Technology
    • Health Sciences
    • School of Nursing

    For details about these specialized accreditations, see the individual Programs and Degrees pages. 

  • Does Baker provide any help in my job search?


    As a graduate of Baker College, you are eligible for our Lifetime Employment Services, which include:

    • Job searching techniques
    • Resume and cover letter assistance
    • Job interview questions
    • Job postings
    • Relocation tips

     

  • Is Baker College Online accredited?

    Baker Online is part of Baker College, a private, non-profit, accredited, degree granting, higher educational institution with locations throughout Michigan.

    As an accredited college, Baker College has been granted legal authority by the state of Michigan to operate as a nonprofit educational corporation and is empowered to grant certificates, associate, bachelor, master, and doctoral degrees. It is approved for veterans’ benefits. Baker College is recognized as an institution of higher education by the U.S. Secretary of Education, U.S. Department of Education.

    All Baker Online undergraduate and graduate programs are accredited by The Higher Learning Commission / 230 South LaSalle St., Suite 7-500, Chicago, IL 60604-1411 / 800-621-7440 / www.ncahlc.org

    Baker College is an Academic Quality Improvement Program (AQIP) participant.

    Some Baker Online graduate programs have additional accreditation:

  • How do online classes work?


    After you enroll, and are accepted to your online program, you sign-up, or "register" for your first courses. Like all Baker Online students, you will begin your online experience with a three-week online class designed to orient you to the Baker Online classroom, and review the expectations and requirements of Baker Online students. When you have completed this course successfully, you can move on to additional online courses.

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Program Availability

Program availability varies by campus. Please contact the Admissions Department on your campus to learn more.

General Requirements

A general education core is required for all Associate and Bachelor degrees. All graduates must meet the general education requirements established by each academic program.

College Success Strategies (COL111A) or College Success Online (COL112) is required for all first-time freshmen and all online students enrolled in a certificate or degree program. This course will inform students of campus services, policies and procedures, and address learning styles and study strategies.

Many of the courses and programs at Baker College are offered in an online delivery format. See Online Programs. Contact your campus Academic / Administrative Office for details about online courses.

Getting Started

There's a lot you can learn about Baker College here on the Web, but talking with an admissions advisor will help you get a better understanding of everything we offer. Contact us to request more information, schedule a visit to the campus nearest you, or get started by applying online.

Request Information
Schedule a Visit
Apply Online

Sonya Randle, Baker Graduate
Watch this testimonial Watch Testimonial

My choice was Baker College. Because I saw how they really took care of their graduates.

Sonya Randle
Medical Insurance Specialist Associate Degree from Baker College

Medical Insurance SpecialistAssociate of Applied Science

Enhance your professional skills.

Increase your opportunities.

Medical insurance specialists handle health insurance billings and payments. They work with insurers, coding specialists, doctors, and healthcare providers to clarify diagnoses and patient treatments. By applying their knowledge of billing rules and procedures, these specialists ensure that claims are accurate and compliant, so that the medical practice receives the correct reimbursement for the services it provides.

Discover Your Future Medical Insurance Specialist Career

Career Facts

$34,160

Median salary for Medical Records and Health Information Technicians

22%

Estimated employment increase by 2022

$49,330

Median salary for Supervisors of Office and Admin. Support Workers

View citations
Overview

Baker’s Medical Insurance Specialist associate degree program is comprehensive, taught by experts who work in the field, and understand the complexities of health insurance. 

Your curriculum includes everything you need to know—rules and policies that affect billing and payment, health insurance codes and procedures, claims processing and follow-up, best practices for optimizing reimbursement, and much more—as well as an externship, which gives you an the opportunity to apply your knowledge and skills in a real-world setting. 

When you graduate, you’ll be ready to take the national certification examination, and fully prepared for your first position.   

This program is part of the Baker College Smart Degree Option.

Course Information
Medical Insurance Specialist Major Requirements63 Hours
Course NumberCourse TitleCredit Hours
HSC 104
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4 Quarter Hours

Introduces students to the fundamental aspects of the study of diseases. Emphasis will be on the definition, etiology, diagnosis, and treatment of specific diseases. This course will concentrate on clinical abstracting from the medical record.

Prerequisite(s):
C or better in MED 103, C or better in SCI 102C or C or better in SCI 100F. No minimum grade requirement for Phlebotomy or Pharmacy Technician majors.
Introduction to Disease4
HSC 111
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4 Quarter Hours

Acquaints students with a variety of perspectives about existing healthcare systems. A particular emphasis on the complexity of the American healthcare system will be made. Comparisons with other health care delivery models and national trends will be discussed. Current events are incorporated throughout this course.

Introduction to Healthcare4
HSC 151
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2 Quarter Hours

Introduces students to health informatics, with primary focus on the function of electronic health records (EHR) systems in health care delivery. Emphasis will be directed toward interdisciplinary use of an EHR to enhance quality and safety in patient care. Students will learn to use EHR software, access a patient account, create a patient file, and to enter and retrieve data. Compliance with HIPAA and confidentiality will be introduced.

Prerequisite(s):
ENG 101, WPG 098 or high school typing/proficiency.
Introduction to Electronic Health Records2
MED 103
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4 Quarter Hours

Examines the fundamentals of word analysis by body system and emphasizes the spelling, pronunciation, and definitions of medical terms.

Medical Terminology4
MED 171
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4 Quarter Hours

Presents students with an in-depth study of electronic medical records application. Students will be able to use, enter, access and correct medical documentation using an electronic software system. Emphasis will be directed toward understanding the role of computer based content, structure, retrieval and storage as it is used in the medical office. Compliance with HIPPA regulations and confidentiality will be emphasized.

Prerequisite(s):
MED 109, C or better in HSC 151 or INF 112.
Corequisite(s):
MED 116, MED 205D.
Electronic Medical Records4
MIS 121A
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4 Quarter Hours

Defines the role of the medical insurance specialist. Students will be introduced to reimbursement terminology, coding systems, major insurance programs, governmental agencies, and the role of the various members of the healthcare team as related to medical reimbursement. The student will study current events related to medical reimbursement

Prerequisite(s):
MED 103.
Introduction to Medical Reimbursement4
MIS 182A
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4 Quarter Hours

Develops knowledge of medical office business operations to include all aspects of the revenue cycle process. Topics in this class include fee schedules, insurance verification, HIPAA, ethics, professionalism, clinician credentialing, patient scheduling, proficiency in practice management software, claim transaction capture and processing, accounts receivable reconciliation, and introduction to medical office management.

Prerequisite(s):
B- or better in MIS 121A.
Revenue Cycle Management4
MIS 201C
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4 Quarter Hours

Develops the students' knowledge and expertise in processing claims for the various payer groups, including vouchers, referral forms, and status inquiry. Students will experience CMS 1500 claims processing through case studies.

Prerequisite(s):
B- or better in MIS 222
Claims Processing Adjudication4
MIS 211A
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4 Quarter Hours

Develops the students' knowledge related to facility (hospital insurance) billing and provides students with expertise from the UB04 Hospital Billing Manual. Students will learn Michigan Insurance billing to Medicare, Medicaid, and Blue Cross related to the UB04 form using ICD-9 diagnosis codes, CPT-4 procedure codes, Revenue codes, Conditions codes, et al, for inpatient and outpatient settings.

Prerequisite(s):
B- or better in MIS 182, B- or better in MIS 201B, B- or better in MIS 222.
Facility Billing and Coding4
MIS 221
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4 Quarter Hours

Emphasizes the organization of diagnosis codes and the basic ICD-9-CM and ICD-10-CM coding rules. Written descriptions of diseases, disorders, and injuries are translated into ICD-9 and ICD-10 codes to their highest level of specificity and to match the procedure/service performed.

Prerequisite(s):
B- or better in HSC 104, B- or better in SCI 100F.
Coding I4
MIS 222
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4 Quarter Hours

Develops the students' knowledge related to facility billing and provides students experience utilizing UB04 claim forms, ICD-9 (volumes I, II, and III), ICD-10-PCS, CPT-4, revenue codes, condition codes, et al., for inpatient and outpatient facility settings.

Prerequisite(s):
B- or better in MIS 221.
Coding II4
MIS 223
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4 Quarter Hours

Demonstrate proficiency in data abstraction from medical records to support billing codes for CPT, ICD, and HCPCS.

Prerequisite(s):
B- or better in MIS 222.
Coding III4
MIS 251
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4 Quarter Hours

Emphasizes knowledge of legal, regulatory and ethical issues associated with the medical insurance profession.

Prerequisite(s):
Sophmore status.
Reimbursement Ethics and Compliance4
MIS 291A
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4 Quarter Hours

Gives a comprehensive review of medical reimbursement focused on preparing students to take either or both of the medical insurance certification exams, Certified Medical Reimbursement Specialist (CMRS) and Certified Professional Coder (CPC). The course will emphasize test-taking strategies for each exam.

Prerequisite(s):
B- or better in MIS 211A, B- or better in MIS 223, B- or better in MIS 251.
Medical Insurance Certification Review4
SCI 100F
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4 Quarter Hours

Introduces students to the structural organization of body systems. This course is designed for students with limited background in chemistry and biology. This course is intended for allied health students who need an overview of body systems. Students should check specific program requirements for anatomy and physiology before enrolling.

Structure and Function of the Human Body4
WRK 261
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4 Quarter Hours

Provides 120 hours of supervised, paid/unpaid work experience. This work experience will acquaint students with outpatient physician billing, outpatient hospital facility billing, durable medical equipment billing, and home health billing and allow students hands-on experience to reinforce their classroom instruction. Students must complete all MIS and MED courses, HSC104 and SCI100E with a C or better prior to completing externship.

Prerequisite(s):
ENG 102, MIS 201C, MIS 211A, minimum GPA 2.50, Program Director/Dean approval.
Corequisite(s):
MIS 291A, WRK 291B.
Medical Insurance Specialist Externship4
WRK 291B
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1 Quarter Hours

Covers all phases of securing employment in a required seminar. Major topics include resume preparation, interview strategy, job application, job search action planning, personal appearance, and coordination of the graduate's employment search activity with the College Career Services Office. Students in degree programs may complete the seminar requirement any time during their final two quarters. Certificate students should attend in their last quarter.

Prerequisite(s):
Sophomore status.
Professional Career Strategies1
General Education Requirements30 Hours
Course NumberCourse TitleCredit Hours
ELECT 120A
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4 Quarter Hours

See General Education Electives List - Communication Electives (Associate Degree)

Communication Elective4
ELECT 161A
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2 Quarter Hours

See General Information Elective List - Computer Literacy Electives.

Computer Literacy Elective2
ELECT 161B
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2 Quarter Hours

See General Information Elective List - Computer Literacy Electives.

Computer Literacy Elective2
ENG 101
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4 Quarter Hours

Emphasizes academic writing by reading and thinking critically to strengthen essential communication skills through the use of the writing process. Various assignments focus on summary and response, analysis, and informative writing. Research practices and research writing in APA style are essential to the course.

Prerequisite(s):
ENG 091 or satisfies developmental writing or placement exam, ENG 098B or satisfies developmental reading or placement exam.
Composition I4
ENG 102
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4 Quarter Hours

Continues developing students' critical thinking and writing skills through reading and argumentative writing. Emphasizes academic writing to articulate the relationships among language, knowledge, and power. Various assignments focus on position, argument analysis, and argumentative proposal. Research practices and research writing in APA style are essential to the course.

Prerequisite(s):
C or better in ENG 101 or placement exam and approved writing sample.
Composition II4
INF 161
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2 Quarter Hours

Explores timely social, legal, philosophical, ethical, political, constitutional, and economic implications of computing and technology. Coverage of the issues related to a technological society including social networking, privacy topics such as cameras in cell phones, access to our search queries and all sorts of data we put on the Web, social networking, location tracking, high-tech surveillance systems, intellectual property, professional ethics and responsibilities, and crime.

Technology and Society2
MTH 108
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4 Quarter Hours

Solves contemporary, real-world problems by mathematical reasoning utilizing concepts from algebra, finance, and statistics. Key topics include personal finance, mathematical models, functions and relations, dimensional analysis, statistical reasoning, and Euclidean geometry. This class focuses on quantitative literacy and the application of the above concepts in a variety of professional disciplines.

Prerequisite(s):
MTH 099E or satisfies developmental pre-algebra or placement exam.
College Mathematics I: Reasoning and Application4
SPK 201
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4 Quarter Hours

Develops confidence and skill in many facets of oral communication. Students explore diverse topics and formats, using both organization and research to support themselves during oral presentations.

Oral Communication4
Select 1 Course from the Following
Course NumberCourse TitleCredit Hours
PSY 101
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4 Quarter Hours

Provides a foundation for understanding human relations with applications to both personal and professional growth. Focus is on examining the basic dynamics of human relations, how social influences shape thought and behavior, effective ways to develop skills of human relations, and the importance of multicultural competency within human relations.

Human Relations4
PSY 111
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4 Quarter Hours

Provides a foundation of knowledge in psychology examining key topics related to understanding human thoughts and behavior. Topics include an exploration of factors that influence thoughts and behavior, psychology as a science, sensation/perception, motivation, emotion, memory, cognition, personality, as well as key figures, research, and theories within psychology. Applying concepts to real-life settings is a focus throughout the course.

General Psychology4

Quarter Hours Required for Graduation: 93

Program Description

This program prepares students to identify the major sources of health insurance and their rules and policies affecting billing and payment. An emphasis will be placed on the student's ability to abstract diagnostic and procedure codes, process claims in outpatient, inpatient, and ambulatory care settings, and the management of account receivables to maximize optimum reimbursement. Graduates are encouraged to take a national certification examination. Program Status: Open Enrollment

Accreditation

Accredited by The Higher Learning Commission / 230 South LaSalle St., Suite 7-500, Chicago, IL 60604-1411 / 800-621-7440 / www.ncahlc.org

Baker College is an Academic Quality Improvement Program (AQIP) participant.

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Start today and discover the program that is right for you.

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FAQ's

  • How can I send a copy of my official transcripts to another organization?

    To access your transcripts, log into the SOLAR System, select the Star System and select the Academic Office. Once there, click on the transcripts link.

  • Is Baker accredited?

    Yes. Baker College is accredited by The Higher Learning Commission / 230 South LaSalle St., Suite 7-500, Chicago, IL 60604-1411 / 800-621-7440 / www.ncahlc.org.

    Baker College is an Academic Quality Improvement Program (AQIP) participant.

    Additional Accreditations

    Baker has also earned specialized accreditations for programs and degrees in: 

    • Business Administration
    • Early Childhood Learning
    • Engineering and Technology
    • Health Sciences
    • School of Nursing

    For details about these specialized accreditations, see the individual Programs and Degrees pages. 

  • Does Baker provide any help in my job search?


    As a graduate of Baker College, you are eligible for our Lifetime Employment Services, which include:

    • Job searching techniques
    • Resume and cover letter assistance
    • Job interview questions
    • Job postings
    • Relocation tips

     

  • Is Baker College Online accredited?

    Baker Online is part of Baker College, a private, non-profit, accredited, degree granting, higher educational institution with locations throughout Michigan.

    As an accredited college, Baker College has been granted legal authority by the state of Michigan to operate as a nonprofit educational corporation and is empowered to grant certificates, associate, bachelor, master, and doctoral degrees. It is approved for veterans’ benefits. Baker College is recognized as an institution of higher education by the U.S. Secretary of Education, U.S. Department of Education.

    All Baker Online undergraduate and graduate programs are accredited by The Higher Learning Commission / 230 South LaSalle St., Suite 7-500, Chicago, IL 60604-1411 / 800-621-7440 / www.ncahlc.org

    Baker College is an Academic Quality Improvement Program (AQIP) participant.

    Some Baker Online graduate programs have additional accreditation:

  • How do online classes work?


    After you enroll, and are accepted to your online program, you sign-up, or "register" for your first courses. Like all Baker Online students, you will begin your online experience with a three-week online class designed to orient you to the Baker Online classroom, and review the expectations and requirements of Baker Online students. When you have completed this course successfully, you can move on to additional online courses.

  • Load More FAQ'S
Sonya Randle, Baker Graduate
Watch this testimonial Watch Testimonial

My choice was Baker College. Because I saw how they really took care of their graduates.

Sonya Randle