University of Montana Catalog 2023-2024

Medical Claims Specialist C.T.S.

Michelle Boller, Director

Students are prepared academically and professionally for claim specialist positions in insurance organizations and healthcare facilities. In this fast-track program, students will learn foundational skills to:

  • Understand medical terminology and human biology
  • Understand medical benefit plans and the claims process to responsibly verify the accuracy and receipt of claims and the analysis of information for processing claims to promote accurate and prompt reimbursement
  • Communicate professionally between peers, vendors, management, and customers in order to provide exceptional customer service
  • Recommend claims action steps to promote accurate and prompt reimbursement
  • Additionally graduates will work collaboratively with other team members to ensure the most positive service experience to both customers and vendors.

Certificate of Technical Studies - Medical Claims Specialist 

Summary

Medical Claims Specialist Required Courses22
Total Hours22

Degree Specific Credits: 22

Required Cumulative GPA: 2.0

Note: See Program Director for scope and sequence advising. Please refer to online schedule for online course availability.

Medical Claims Specialist Required Courses

Note: Substitutions are approved at the discretion of the program director.

Complete all of the following courses:
AHMS 144Medical Terminology3
AHMS 156Medical Billing Fundamentals3
AHMS 252Computerized Medical Billing3
BGEN 215Career Readiness3
BIOH 104NBasic Human Biology3
BIOH 105NBasic Human Biology Laboratory1
BMGT 245Customer Service Management3
HIT 265Electronic Health Records3
Total Hours22

Minimum Required Grade: C-