• Medical Benefits Specialist Curriculum


  • One-Year Certificate

    Catalog Year 2016-2017

    (Financial aid approval by the Department of Education is pending)

    The Medical Benefits Specialist program prepares individuals with the knowledge and skills required to provide current and accurate information to patients about health plans (commercial, state, and federal). This worker will understand how the details of health plans impact a patient’s ability to receive care and will be able to effectively communicate to patients what their financial obligations are. This Medical Benefits Specialist works to educate the patient on how they can advocate for themselves regarding their health plan in order to maximize their medical insurance benefits.

    The program includes instruction in the procedures used in medical offices, hospitals, and other healthcare facilities. Also included in the program are classes in medical terminology, interpersonal communication skills, telephone skills, customer service, multicultural and diversity issues, and applicable policies and regulations. Students are HIPAA trained in most classes. Students participate in an internship during their final term of study.

    The program is designed for persons of all ages and backgrounds with special attention given to individual student needs and abilities. The program is also appropriate for current medical office workers who wish to increase their knowledge and skills regarding medical benefits.

    A Medical Benefits Specialist may be employed in medical offices, public and private hospitals, teaching hospitals, clinics, insurance companies, nursing homes, and governmental facilities.

    Program Outcomes
    At the completion of this program, students should be able to:

    • To understand all components of health care insurance contracts from both the patient’s and provider’s perspectives. Inclusive in this understanding is developing a knowledge base of the impact of the Affordable Care Act and consideration on how this influences health insurance contracts experienced by patients and providers today.
    • To communicate all aspects of commercial and government medical plans to patients so they can understand the components of individual health plans and determine financial obligations.
    • To educate patients on rights and responsibilities as it relates to health insurance and to demonstrate communication skills required to allow patients to successfully advocate for themselves with health insurance carriers.
    First Quarter (Fall)
    Course Number
    Course Title
    Credits
    AH130 Introduction to Electronic Health Records Technology
    1
    BT123A Keyboarding Skill Development
    3
    MO110 Powerful Strategies for the Office Team
    4
    MO114 Medical Terminology I1
    3
    MO140 Understanding Medical Insurance
    3
    MO230 Medical Coding I - ICD-10-CM
    3
    17
    Second Quarter (Winter)
    Course Number
    Course Title
    Credits
    MO115 Medical Terminology II1
    3
    MO116 Medical Office Procedures
    4
    MO240 Medical Office Billing I
    3
    MO250 Medical Law and Ethics
    3
    WR121 English Composition 1,2
    4
    17
    Third Quarter (Spring)
    Course Number
    Course Title
    Credits
    BA131 Introduction to Business Computing
    4
    BT125 Microsoft Word Training 1
    3
    MO141 Patient Advocate for Medical Insurance
    3
    MO212 Diversity and Healthcare
    3
    MO214 Building a Professional Portfolio
    1
    MO241 Medical Office Billing II
    3
    17
    Fourth Quarter (Summer)
    Course Number
    Course Title
    Credits
    BT110 Business Editing
    3
    MTH065 Beginning Algebra II (or higher)1,2,3
    4
    PSY201 General Psychology5 or
    WS101 Introduction to Women’s Studies
    3-4
    WE280MOF_ Cooperative Education Internship4
    4
    14-15
    Total Credits 65-66

    Medical Office students are required to have a criminal background check http://www.mhcc.edu/CriminalBackgroundCheck/ and a current Tuberculin skin test (PPD) at the beginning of the MO110 Powerful Strategies for the Office Team class. Medical Office students must document completion of the three-dose Hepatitis B vaccine series and complete a Measles Immunization Clearance Certificate for School Attendance form prior to beginning the externship placement process. Some externship sites may require further immunizations. See program director for site specific requirements.

    Note: A minimum grade of "C" is required in all courses.

    1Courses may be taken the summer prior to beginning the program.
    2 See course descriptions for prerequisite.
    3A College Placement Test (CPT) score does not fulfill this requirement. Students must successfully complete the required mathematics course (or higher.)
    4 Any combination of WE280MOFA, WE280MOFB, WE280MOFC and WE280MOFD to a total of four credits.
    Instructor and dean permission is required; check with instructor for the correct course number and credits
     appropriate to the internship assignment.