Alternative instruction will continue for Fall 2020 semester. Students should remain in communication with their instructors and follow their instructions.
Offered online and in collaboration with Cedars-Sinai and Healthcare Business Insights (HBI), the certificate program in Healthcare Revenue Cycle Administration will prepare students to work as a patient financial services/patient accounting representative in a healthcare setting. The course will reflect experiences in all aspects of the hospital revenue cycle, with a focus on payment variance identification and resolution. Students will be awarded a certificate as a Revenue Cycle Administrator after successfully completing this course with an 80% or better average.
This program is presented in partnership with a third-party provider and is not affiliated with a campus academic department. Courses offered with third-party providers are not degree-eligible.
Student Learning Outcomes
Identify main functional areas in key tasks in the revenue cycle.
Differentiate between compliant and noncompliant HIPAA practices.
Analyze whether a person is/is not eligible for Medi-Cal based on specific factors.
Identify the benefits and best practices for preventing financial variance in the revenue cycle.
Identify best practices for successful communication and service.
Differentiate between demographic, financial, and clinical data elements (CDEs).
Identify and interpret codes in various fields on the UB-04 form.
Name methods for managing and preventing variance.
Identify key denial management practices and steps for following up on common denials.
Interpret an EOB (Explanation of Benefits) statement.
Identify key insurance card elements.
Differentiate among various types of insurance coverage.
Identify typical appeal timelines and the most common issues causing underpayments.
List best practices for preventing COB (Coordination of Benefits) denials.
Differentiate among CMS prospective payment systems.
Demonstrate the procedures needed to deal effectively with a claim denial.
Healthcare is one of the fastest-growing industries in Los Angeles County. Many large healthcare employers in the area report a shortage of qualified individuals to fill roles in revenue cycle operations.
To help facilitate career transition, Cedars-Sinai, a national healthcare leader, will select a top performing student for a paid internship position, creating a potential pathway to full-time employment.
Who Should Enroll?
Individuals interested in jump-starting their career in the healthcare industry by gaining an industry-recognized certification.
Register for a live webinar OR view/listen to a pre-recorded Healthcare Revenue Cycle Administration Certificate program webinar presentation here.
Tuition & Fees
Federal financial aid is not currently available for the Healthcare Revenue Cycle Administration Certificate Program. However, you can apply for a private student loan here.
- Nine weeks total, from September 12, 2020, to November 7, 2020
- 4.5 Continuing Education Units (CEU’s), 45 hours of instruction
- Live Zoom sessions will be held Saturdays from 8:30 a.m. to 1:30 p.m. (More information coming soon.)
Enroll in the Healthcare Revenue Cycle Administration Certificate Program here.
For more information, please contact the College of Professional and Global Education via email or (323) 343-4915.