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Top 10 Billing Administrator Certifications

This article provides an overview of the top certifications for billing administrators, including requirements and benefits.

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 18 min read

Certifications for a billing administrator are important in the job market because they demonstrate to employers that the individual has the knowledge and skills necessary to perform the duties of a billing administrator. Certifications also show employers that an individual is committed to staying current with industry best practices, standards, and regulations. They can be instrumental in helping an individual stand out from other candidates when applying for a job as a billing administrator. Additionally, certifications can help individuals increase their earning potential and career advancement opportunities.

This article reviews some of the top certifications for Billing Administrators, and explains how they can help to further a Billing Administrator's career.

What are Billing Administrator Certifications?

Billing Administrator Certification is a form of professional certification designed to demonstrate an individual's knowledge and expertise in the field of billing administration. Billing administrators are responsible for ensuring accurate and timely billing for services rendered, as well as maintaining records and accounts receivable.

The certification process involves taking a comprehensive exam which tests the applicant’s knowledge of the various aspects of billing administration, including financial analysis, billing systems, accounting principles, customer service, and legal issues. Upon successful completion of this exam, applicants will receive their certification from an accredited organization such as The Institute of Certified Billing Administrators (ICBA).

Having a Billing Administrator Certification can benefit individuals in many ways. It demonstrates that the individual has acquired the necessary skills to perform billing related tasks effectively and efficiently. This certification can also help one gain employment or advance their career in the field of billing administration by increasing their value to potential employers. Additionally, having this credential can open up more opportunities for advancement within a company's finance department or other departments related to billing operations. Finally, it can provide peace of mind knowing that one has achieved a recognized level of proficiency in this area.

Pro Tip: Obtaining a billing administrator certification can help you stay current on industry regulations and standards. It can also provide you with the necessary skills to manage and handle billing processes, as well as give you an advantage in the job market.

Related: What does a Billing Administrator do?

Top 10 Billing Administrator Certifications

Here’s our list of the best certifications available to Billing Administrators today.

1. Certified Billing and Coding Administrator (CBCA)

A Certified Billing and Coding Administrator (CBCA) is a professional certification that provides recognition of an individual's knowledge and skills in medical billing and coding. It is designed to demonstrate the ability to accurately interpret medical records, assign codes for diagnosis and procedures, and submit claims for reimbursement.

The CBCA certification is offered by the American Academy of Professional Coders (AAPC). To become certified, individuals must pass an exam that covers topics such as medical terminology, anatomy, physiology, coding systems, legal guidelines for coding and billing, insurance policies and regulations. The exam also covers how to use electronic health records (EHRs) for coding.

The exam takes about four hours to complete and costs $399 USD. To be eligible to take the exam, applicants must have at least two years of professional experience in medical billing or coding within the past five years. Applicants must also have completed a minimum of 20 continuing education credits in medical billing or coding within the past two years.

Once certified, individuals are required to renew their certification every two years by completing 40 continuing education credits in medical billing or coding. The renewal fee is $199 USD.

2. Certified Medical Billing and Coding Professional (CMBCP)

Certified Medical Billing and Coding Professional (CMBCP) is a certification that demonstrates a professional’s knowledge of medical billing and coding. It is designed to help healthcare professionals better understand the complexity of the healthcare system, as well as the rules and regulations associated with it. This certification is offered through the American Academy of Professional Coders (AAPC).

It typically takes between 6-12 months to complete all of the requirements for CMBCP certification. The process begins with completing an AAPC-approved training program, which can be done online or in person. After completing the training program, individuals must pass an exam administered by AAPC to receive their certification.

The cost for earning CMBCP certification varies depending on how long it takes to complete the training program and if any additional courses are taken. Generally, it will cost around $1,500-$2,000 for all required materials including textbooks, exams fees, and other related expenses.

Once certified, medical billers and coders will have access to resources such as continuing education opportunities and networking events that can help them stay up-to-date on changes in the industry. Additionally, having this certification may make individuals more attractive to potential employers or clients looking for experienced professionals in this field.

3. Certified Professional Medical Biller (CPMB)

Certified Professional Medical Biller (CPMB) is a professional certification that demonstrates a medical biller’s knowledge and expertise in the field. It is awarded by the National Healthcareer Association (NHA). The CPMB certification validates an individual’s understanding of medical billing processes, including coding, reimbursement, collections, and compliance.

The CPMB certification process typically takes about one year to complete. To become certified, you must first pass an exam that covers topics such as medical terminology, anatomy and physiology, medical coding systems, reimbursement systems, healthcare regulations and compliance requirements. After passing the exam, you must also complete at least two years of relevant work experience in order to be eligible for the certification.

To get started on the path to becoming a Certified Professional Medical Biller (CPMB), you will need to register with NHA and pay an application fee of $99. Once your registration is approved, you will be able to access study materials and take practice tests online. When you are ready to take the exam, you will need to pay an additional fee of $179. After successfully completing the exam and meeting all other eligibility requirements, you will receive your CPMB certification from NHA.

4. Certified Healthcare Financial Professional (CHFP)

Certified Healthcare Financial Professional (CHFP) is a professional certification program for individuals who work in the healthcare finance field. It is designed to recognize and promote excellence in the healthcare financial management profession. The certification is offered by the Healthcare Financial Management Association (HFMA), an international professional association for healthcare finance professionals.

The CHFP certification requires applicants to have a minimum of three years of experience in healthcare finance, as well as a bachelor’s degree or higher from an accredited college or university. Those without a degree may be eligible if they have at least seven years of experience in healthcare finance.

To obtain the CHFP certification, applicants must pass an exam that covers topics such as budgeting, financial analysis, reimbursement systems, and regulatory compliance. The exam consists of 150 multiple-choice questions and takes about four hours to complete.

The cost of taking the CHFP exam varies depending on whether you are an HFMA member or non-member. For members, the cost is $495; for non-members it is $595. Additionally, there is a $75 application fee that must be paid when you submit your application for the exam.

Once you have passed the exam and received your CHFP certification, it must be renewed every three years by completing 45 continuing education units (CEUs). CEUs can be obtained through attending HFMA conferences and seminars or participating in other approved activities related to healthcare finance.

5. Certified Revenue Cycle Representative (CRCR)

Certified Revenue Cycle Representative (CRCR) is a certification that demonstrates an individual’s knowledge and expertise in the revenue cycle of healthcare organizations. It is designed to help individuals gain a better understanding of the financial aspects of healthcare, including billing, coding, collections, and reimbursement processes. The certification is offered through the American Academy of Professional Coders (AAPC).

It typically takes 6-12 months to complete the requirements for this certification. To become certified, candidates must first pass the CRCR exam. This exam consists of 150 multiple-choice questions covering topics such as medical terminology, anatomy and physiology, coding systems, reimbursement methodologies, and more. Candidates must also complete an approved course or program related to revenue cycle management.

The cost of obtaining the CRCR certification varies depending on the route chosen by each candidate. The cost of taking the exam alone is $299 for AAPC members and $399 for non-members. Additional costs may be incurred if a candidate chooses to take a course or program related to revenue cycle management prior to taking the exam.

6. Certified Medical Reimbursement Specialist (CMRS)

A Certified Medical Reimbursement Specialist (CMRS) is a professional who specializes in the billing and reimbursement of medical services. The CMRS credential is offered by the American Medical Billing Association (AMBA) and is recognized throughout the healthcare industry. It demonstrates a mastery of medical billing and coding principles, as well as an understanding of the rules and regulations governing medical reimbursement.

To become certified, an individual must have at least two years of experience in medical billing or coding, complete a minimum of 30 hours of continuing education, pass an exam administered by AMBA, and renew their certification every three years.

The cost to obtain the CMRS certification varies depending on the course provider, but typically ranges from $400-$600. Some providers may also offer discounts for members or groups. Once certified, individuals must pay an annual renewal fee to maintain their credential.

In total, it usually takes about six months to become certified as a CMRS. This includes completing any required courses or training programs, studying for the exam, taking the exam itself, and waiting for results from AMBA.

7. Certified Healthcare Business Analyst (CHBA)

A Certified Healthcare Business Analyst (CHBA) is a professional credential that recognizes individuals who have demonstrated expertise in the healthcare industry. CHBAs are knowledgeable about the inner workings of the healthcare industry, including its financial, operational, and regulatory aspects. They are able to analyze data and use it to make informed decisions that improve patient care and reduce costs.

To become a CHBA, an individual must pass an exam administered by the American College of Healthcare Executives (ACHE). The exam consists of 150 multiple-choice questions covering topics such as healthcare economics, finance, operations, organizational behavior, and information systems. It takes approximately three hours to complete the exam.

The cost for taking the CHBA exam varies depending on whether or not an individual is a member of ACHE. For non-members, the cost is $450; for members, it is $350. Additionally, there may be additional fees associated with scheduling and rescheduling exams.

In order to maintain certification status, CHBAs must earn 30 continuing education credits every three years by attending conferences or completing online courses related to healthcare business analysis.

8. American Academy of Professional Coders Certification (AAPC)

The American Academy of Professional Coders (AAPC) Certification is a credential that recognizes the knowledge and skills of medical coders. It is designed to demonstrate an individual’s proficiency in coding and billing practices, as well as their commitment to professional development.

To obtain the AAPC certification, you must pass an exam administered by the AAPC. The exam consists of 150 multiple-choice questions covering topics such as anatomy and physiology, medical terminology, coding principles, reimbursement methodologies, and healthcare compliance. The exam typically takes about four hours to complete.

In order to be eligible for the exam, you must have a minimum of two years experience in medical coding or billing (or a combination of both), or have completed an accredited training program in medical coding or billing. You must also pay a fee for the application process and for taking the exam. The cost varies depending on your membership status with the AAPC; however, it typically ranges from $200 - $400 USD.

Once you have passed the exam and been certified by the AAPC, you will become part of a network of over 200,000 certified professionals across North America who are dedicated to providing quality healthcare services through accurate coding and billing practices.

9. National Association of Healthcare Revenue Integrity Certification (NAHRI)

The National Association of Healthcare Revenue Integrity (NAHRI) Certification is a professional credential that recognizes individuals who demonstrate expertise in the field of healthcare revenue integrity. This certification is designed to validate the knowledge, skills, and abilities of professionals who are responsible for ensuring accurate and compliant reimbursement practices within their organization.

The NAHRI Certification is offered in four levels: Associate, Professional, Expert, and Master. The Associate level is designed for entry-level or newly hired professionals who are just beginning their careers in healthcare revenue integrity. The Professional level is intended for those with at least two years of experience in the field. The Expert level requires five years of experience and demonstrates mastery of healthcare revenue integrity principles. Finally, the Master level requires ten years of experience and requires a comprehensive understanding of all aspects of healthcare revenue integrity.

To obtain the NAHRI Certification, applicants must first complete an application form and submit it to NAHRI along with any required documentation such as transcripts or proof of work experience. Once approved, applicants must pass an online exam that covers topics such as coding accuracy, reimbursement processes, compliance regulations, and data analytics. The exam takes approximately three hours to complete and costs $450 USD. After passing the exam, applicants will receive their official NAHRI Certification certificate within four weeks.

In order to maintain certification status, holders must complete 30 continuing education credits every three years. Additionally, they must adhere to a code of ethics established by NAHRI which outlines standards for professional conduct and behavior as well as guidelines for ethical decision making when dealing with healthcare revenue integrity issues.

10. American Health Information Management Association Certification (AHIMA).

The American Health Information Management Association (AHIMA) Certification is a professional certification program designed to recognize individuals who have met the highest standards of knowledge, skill and expertise in health information management. AHIMA certifications are recognized as the gold standard for health information professionals, and are highly sought after by employers.

To become certified, applicants must meet certain eligibility requirements and pass an examination. The amount of time it takes to get certified depends on the individual's level of experience and preparation. Generally, applicants should plan to spend several months studying for the exam before attempting it.

Applicants must first register with AHIMA and create an account in order to apply for certification. After registering, they will need to submit an application that includes their educational background, work experience, and any other relevant information. Once the application is approved, applicants can take the exam at a testing center or online.

The cost of AHIMA certification varies depending on which type of certification is being sought. For example, the Certified Coding Associate (CCA) exam costs $299 USD while the Certified Coding Specialist (CCS) exam costs $399 USD. Other exams may have different fees associated with them as well.

Overall, obtaining AHIMA Certification is an important step in advancing one's career in health information management and can open up new opportunities for employment or advancement within one's current organization.

Do You Really Need a Billing Administrator Certificate?

No, you do not need a billing administrator certificate to work in the field of healthcare administration. However, having one can be beneficial and may set you apart from other job seekers. A billing administrator certificate provides specialized training that teaches you the specific skills needed to efficiently manage medical billing processes. It also demonstrates your commitment to learning and professional development, which employers value highly.

A billing administrator certificate can help you develop advanced skills in areas such as coding, reimbursement policies, accounts receivable, and patient billing. Additionally, it helps you better understand how different systems interact within healthcare organizations and how they affect the overall financial health of a business. With these skills, you will be able to effectively manage the entire billing process from start to finish while minimizing errors and increasing accuracy.

Having a certification also shows potential employers that you are dedicated to staying up-to-date on industry trends and regulations, which is important in an ever-changing healthcare environment. Furthermore, it can provide an edge when applying for jobs or promotions as it makes you stand out from other applicants who may not have this extra knowledge or training. Ultimately, whether or not you need a billing administrator certificate depends on your career goals and the job market where you live.

Related: Billing Administrator Resume Examples

FAQs About Billing Administrator Certifications

FAQ 1: What is a Billing Administrator Certification?

Answer: A Billing Administrator Certification is a specialized certification that demonstrates an individual's knowledge and proficiency in billing, invoicing, and payment processing. The certification is designed to help individuals gain the skills needed to manage billing operations in a variety of settings.

FAQ 2: What are the requirements for obtaining a Billing Administrator Certification?

Answer: To obtain a Billing Administrator Certification, individuals must successfully complete an accredited program and pass an exam. The program typically includes courses in accounting, finance, business law, and other related topics.

FAQ 3: What benefits does having a Billing Administrator Certification provide?

Answer: Having a Billing Administrator Certification provides several benefits including improved job prospects, increased salary potential, and greater career advancement opportunities. Additionally, it demonstrates to employers that the individual has the necessary skills to effectively manage billing operations.

FAQ 4: How long does it take to earn a Billing Administrator Certification?

Answer: The amount of time it takes to earn a Billing Administrator Certification varies depending on the individual's educational background and how much time they are able to devote to studying for the certification exam. Generally speaking, individuals can expect it to take anywhere from three months up to one year or more depending on their level of commitment.

FAQ 5: Are there any resources available for preparing for the certification exam?

Answer: Yes! There are numerous resources available online such as practice exams, study guides, tutorials and webinars that can help individuals prepare for their certification exam. Additionally, many accredited programs offer support services such as tutoring and mentorship programs that can assist with exam preparation.