Get Advanced Insurance Billing & Reimbursement Training with freeCE's PTCB-Recognized Specialty Certificate Program!
Easily complete all PTCB-required training in our convenient & on-demand format
freeCE offers pharmacy technicians the flexibility to complete this Billing & Reimbursement training at their own pace. This 3.5-credit program is broken into 4 live & on-demand modules. Once learners pass the final exam, and if you're a PTCB-certified pharmacy technician (CPhT), you'll have the option to apply for PTCB's Billing & Reimbursement Exam.
Effectively managing billing and reimbursement is vital in the pharmacy setting. Pharmacy technicians are integral to the process of billing and reimbursement in the pharmacy, which facilitates patient access to medication. In this course, technicians will learn about insurance programs and eligibility requirements, claims processing and adjudication, prior authorization, and audits and compliance. This course will allow technicians to develop a board foundation in billing and reimbursement and prepare them to take a leadership role in their practice settings.
This 3.5-credit PTCB-Recognized training program has been built into a 4-module certificate, designed to train pharmacy technicians on Billing & Reimbursement. This series is developed based on the blueprint for the Pharmacy Technician Certification Board’s Billing and Reimbursement Certificate, and pharmacy technicians who complete freeCE's certificate program will be prepared to sit for that assessment.
Programs and Eligibility Various healthcare programs, eligibility requirements, terminology, and reimbursement types and settings are covered in module one of this program. Billing and Reimbursement principles and how this information relates to the pharmacy technician’s advancing role is also explored.
Claim Processing and Adjudication Pharmacy billing processes and strategies for submitting claims to obtain reimbursement are explained here in module 2. Opportunities to practice methods for determining drug cost and sale prices are provided.
Prior Authorization Prior authorization terminology and processes are reviewed in this module to support effective pharmacy billing. Strategies to trouble shoot and promote smooth processing of authorization requests are also discussed.
Audits and Compliance Are you aware of the guidelines that govern compliant billing and reimbursement in your pharmacy? Quality assurance, rules and regulations, requirements, and organizations that may be involved in pharmacy audits and surveys are covered in this final module to support the pharmacy technician and their advancing role in the workplace.