Healthcare Business Certificate

The Healthcare Business Certificate program is designed to provide students the opportunity to achieve a certificate that combines health science with basic administrative skills. The program prepares students for work in a variety of settings by providing a combination of necessary skills such as computer applications, keyboarding, business communication, and operating systems with basic principles of medical terminology, health systems, insurance, and project management. This program will prepare students to work at a number of entry-level positions in the insurance industry and health organizations, and serve as a springboard to other health professions.

Upon completion of this program, the student will be able to:

• demonstrate the connection between all stakeholders using the fundamentals of project management in health systems.
• manage case files and insurance forms, including interpreting medical coding systems, medical documentation, and third-party payers.
• apply effective written and verbal communication methods using common business computer applications.
• evaluate various business circumstances and apply critical thinking and evidence-based research to formulate a resolution.
• identify and translate medical documents, reports, documentation, and legal considerations.
• compare and contrast the various US health care systems and third-party payers.
• identify and apply legal, ethical, and professional principles to common situations encountered in health care occupations.
• demonstrate knowledge and proficiency with technology, including web-based applications, Microsoft Office, and other systems.
• incorporate understanding and application of industry knowledge and theoretical concepts from work experience sites in the development and implementation of management projects.

Program Requirements:

AH 103 U.S. Healthcare Systems and Third Party Payers  2

AH 106 Communication for Allied Health Careers  2

AH 108 Introduction to Health Occupations  2

AH 110 Medical Language for Health-Care Providers  3

AH 300 Introduction to Project Management for Healthcare  3

BUS 107 Keyboarding  1 - 3

CISA 305 Beginning Word Processing  2

CISA 315 Introduction to Electronic Spreadsheets  2

CISA 323 Database Management using Microsoft Access  2

CISC 300 Computer Familiarization  1

WEXP 498 Work Experience in (Subject)  1 - 4

Total Units: 21 - 26

The Healthcare Business CTE Certificate program will provide the preparation for entry level positions within the insurance business industry and could also support upskilling of existing workers to attain career mobility and become competitive in this industry.

The public sector and private sector organizations employ claims processors to improve workflow of the claims processes and provide information to patients/clients.  Medical insurance companies, large hospital providers, California State/Federal entities and smaller care delivery clinics employ claims processors to analyze a medical claim and to communicate with the patient through the process.  This certificate is to support duties in claims processing/claims representatives that will utilize the medical coding information submitted by medical clinics, hospitals and care providers.  The coursework supports key fundamental content for a health administration degree at the bachelor’s level.  

The course work will support content that can lead to the following certification: Certified Professional Biller (CPB) certification which prepares for the knowledge of how to submit claims compliant with government regulations and private payer policies. They follow-up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. The CPB medical billing certification is vital to the financial success of the professional healthcare services claims process.

Upon completion of this program, the student will be able to:

·        Demonstrate the connection between all stakeholders using the fundamentals of project management in health systems.

·        Manage case files and insurance forms, including interpreting medical coding systems, medical documentation, and third-party payers. 

·        Apply effective written and verbal communication methods using common business computer applications.

·        Evaluate various business circumstances and apply critical thinking and evidence-based research to formulate a resolution.

·        Identify and translate medical documents, reports, documentation, and legal considerations.

·        Compare and contrast the various US Healthcare Systems and third-party payers.

·        Identify and apply legal, ethical and professional principles to common situations encountered in health care occupations.

·        Demonstrate knowledge and proficiency with technology, including web-based applications, Microsoft Office, and other systems.

·        Demonstrate application of industry knowledge and theoretical concepts as written in learning objectives for work experience sites.

Program Requirements:

AH 103 U.S. Healthcare Systems and Third Party Payers  2

AH 106 Communication for Allied Health Careers  2

AH 108 Introduction to Health Occupations  2

AH 110 Medical Language for Health-Care Providers  3

AH 300 Introduction to Project Management for Healthcare  3

BUS 107 Keyboarding  1 - 3

CISA 305 Beginning Word Processing  2

CISA 315 Introduction to Electronic Spreadsheets  2

CISA 323 Database Management using Microsoft Access  2

CISC 300 Computer Familiarization  1

WEXP 498 Work Experience in (Subject)  1 - 4

Total Units: 21 - 26