{"@id":"https://credentialengineregistry.org/resources/ce-78256407-5979-410f-8363-a4c3a3b7be4c","@type":"ceterms:Certification","@context":"https://credreg.net/ctdl/schema/context/json","ceterms:ctid":"ce-78256407-5979-410f-8363-a4c3a3b7be4c","ceterms:name":{"en-US":"Medical Software, Insurance and Pre-authorization Specialist"},"ceterms:ownedBy":["https://credentialengineregistry.org/resources/ce-7c146f54-6196-4c3f-a998-fca7c8cb9c7b"],"ceterms:offeredBy":["https://credentialengineregistry.org/resources/ce-7c146f54-6196-4c3f-a998-fca7c8cb9c7b"],"ceterms:identifier":[{"@type":"ceterms:IdentifierValue","ceterms:identifierTypeName":{"en-US":"Source"},"ceterms:identifierValueCode":"Industry and Occupation codes derived from CareerOneStop's Certification Finder"}],"ceterms:inLanguage":["en"],"ceterms:description":{"en-US":"Medical Software, Insurance and Pre-authorization Specialist work in physicians' offices, hospital, urgent care center, billing companies, insurance companies and many more places. Their main duty is to input data into the Medical Billing Software to process the claims for reimbursements. Moreover, they must have an understanding on various types of insurances and the procedures to billing for the services rendered to the patient, apart from this their other main duty includes verifying insurance benefit eligibility and obtaining pre-authorization for services."},"ceterms:industryType":[{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://www.census.gov/naics/","ceterms:targetNode":"https://www.census.gov/naics/?input=621\u0026year=2022\u0026details=621","ceterms:codedNotation":"621","ceterms:frameworkName":{"en-US":"NAICS"},"ceterms:targetNodeName":{"en-US":"Ambulatory Health Care Services"},"ceterms:targetNodeDescription":{"en-US":"Ambulatory Health Care Services"}},{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://www.census.gov/naics/","ceterms:targetNode":"https://www.census.gov/naics/?input=6213\u0026year=2022\u0026details=6213","ceterms:codedNotation":"6213","ceterms:frameworkName":{"en-US":"NAICS"},"ceterms:targetNodeName":{"en-US":"Offices of Other Health Practitioners"},"ceterms:targetNodeDescription":{"en-US":"Offices of Other Health Practitioners"}}],"ceterms:occupationType":[{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://www.onetcenter.org/taxonomy.html","ceterms:targetNode":"https://www.onetonline.org/link/summary/43-9041.00","ceterms:codedNotation":"43-9041.00","ceterms:frameworkName":{"en-US":"Standard Occupational Classification"},"ceterms:targetNodeName":{"en-US":"Insurance Claims and Policy Processing Clerks"},"ceterms:targetNodeDescription":{"en-US":"Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives."}}],"ceterms:subjectWebpage":"https://www.aecacert.com/medical-software-insurance-exam","ceterms:credentialStatusType":{"@type":"ceterms:CredentialAlignmentObject","ceterms:framework":"https://credreg.net/ctdl/terms/CredentialStatus","ceterms:targetNode":"credentialStat:Active","ceterms:frameworkName":{"en-US":"Credential Status"},"ceterms:targetNodeName":{"en-US":"Active"},"ceterms:targetNodeDescription":{"en-US":"Awards of the credential are ongoing."}}}