Healthcare Revenue Cycle Administration Certificate in Downtown LA

Program Description

Offered at Cal State LA Downtown 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 of completion as a Revenue Cycle Administrator after successfully completing this course with an 80% or better average.

Introducing Cal State LA's Healthcare Revenue Cycle Administration Program

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.

Employment Outlook

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 up to two top-performing students for paid internship positions, 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.

Tuition & Fees

Total Program Cost: $3,495
Textbooks, materials, expenses (parking) are included in program cost.
Tuition and fees must be paid prior to the start of classes each term.

Financial Assistance

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.

Course Schedule

Spring 2020 schedule available soon!

Enroll/Register

Spring 2020 registration opening soon!

Contact

For inquiries about the Healthcare Revenue Cycle program, please contact PaGE Programs via email.