Medical Insurance Specialist - Essay Example

Medical Insurance Specialist Introduction In these days of surging costs of medicines and treatment, if people looking for medical insurance, there are various options available to them. Over the years there have been some advances in medicine and there are new diagnostic methods, technology, drugs and procedures. With these improvements, medical costs are on the rise, whereas people are looking for more reliable medical treatment deemed necessary and expensive as well. There are both government and private insurance options available.

Government insurance schemes are considered safer, and for the persons working in the public sector such insurance coverage are generally available. With private health insurance, one can be sure that he/she gets treatment immediately. People are treated in public hospitals according to the severity of their illness. Another advantage is that the patient has the option of choosing any doctor for his/her medical problem management. However, in some cases, private health insurance is limited to some specific hospitals.

 Hence, advice from a knowledgeable medical insurance specialist is genuinely needed. . American Association of Healthcare Administrative Management or AAHAM is a reputed and widely recognized institution in the field of medical insurance and related patient care. The organization conducts one of the most rigorous certification exams keeping in mind the industry requirements in the field of medical insurance. I wish to achieve the Certified Patient Account Manager (CPAM) and/or Certified Clinical Account Manager (CCAM) qualifications from this esteemed organization.

According to LeDoux (2008), “Each examination is four sections. Sections for the CPAM Examination are Patient Access, Billing, Credit & Collections, and Revenue Cycle Management. Sections for the CCAM Examination are Front Desk, Billing, Credit & Collections, and Revenue Cycle Management. An examinee has 8 hours to complete a full exam, 6 hours to complete a dual exam, 4 hours for two section retakes, and 2 hours for one section retake.” Responsibilities In the case of government sponsored insurance schemes, there are both security and return guarantee.

But such insurances are mostly available to the public sector employees. Also, increasing medical costs pose more problems to this system. Hence, private insurance companies have become key players in the field. The prime responsibility of a medical insurance specialist is to empathetically advise the client that which insurance scheme he/she must choose and how can get benefit from the government sponsored schemes like Medicare, Managed Care, etc. With private health insurance it is important to note that not all types of conditions are treated.

 The conditions that are dependent on the type of policy chosen are treated. A majority of the policies that cover short-term injuries and illnesses and conditions are offered. So, medical