Certified Health Insurance Specialist (CHIS)

CHIS Certification

This certification represents an individual’s knowledge about all third party payer processes, rules and regulations, a good knowledge of the reimbursement process and the ability to address and reduce billing/coding errors, file appeals, and submit and resubmit claims. A knowledge of coding and billing is required. The individual must also understand how to contribute to the accounts receivable management function in a provider office.

Eligibility

To achieve certification, an individual must have completed an educational training course in medical billing, which includes health insurance claims processing, or have 6 months' experience in a provider’s office (with verification of training/or experience).

Practice and Certification Testing

Cert-blaster: Competency related to third party payer processes, rules and regulations with case scenarios and exercises on actual payer processes. The practice test takes about an hour and simulates the type of questions that are on the certification test. Four different types of tests are available; all are interactive.

Exam-Guard: The certification test takes 2 hours, is timed, and the results are immediate and reported to you. The test is reviewed by an instructor prior to issuing the final grade and certificate.

Certification Testing Options:

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