Thank you for your interest in the Allan Hancock College Medical Billing Certificate Program. We are pleased that you are exploring Medical Billing as a profession. Medical Billing is a demanding discipline and the course of study is challenging as well as rewarding.
The application period ends on May 31st. A random lottery will take place in June for seating status, and an email
notification will be sent by June 15th, 2016, using the email address provided on this application. Please review the contents
of this application packet thoroughly prior to submitting your application and supporting documents. If you have questions regarding the Medical Billing Certificate and/or specific questions about the application process contact the Health Sciences Department at 805-922-6966 ext. 3384.
PROGRAM
The Medical Billing Certificate Program is a two-semester evening/night program that provides essential skills needed for employment in the billing department of a medical office.
EMPLOYMENT OPPORTUNITIES
The median hourly wage is $15.00 per hour. A medical biller may work in private practice such as a medical office. Other areas of employment include community clinics and government agencies, including federal or state hospitals.
CERTIFICATION OF ACCOMPLISHMENT – Total of 16 units
Allan Hancock College will offer a Certificate of Accomplishment, once the student has completed the mandatory classes.
1st semester – 9 units
MA-305 Body Systems and Disease 5
MA-352 MA Administrative Procedures 4
2nd semester – 7 units
MA-360 Medical Billing and Insurance 4
MA-361 Coding for Medical Insurance 3
APPLICATION ELIGIBILITY CRITERIA
Must complete the following classes with a grade “C” or better, show equivalency or currently taking the following:
• Eng 514 or Reading 110 • Math 531 or Math 521
APPLICATION AND ADMISSION
To apply for the Medical Billing and Coding Program, you must submit a completed application. Incomplete packets will not be accepted. Once the office receives your completed application, we will use a randomized lottery system that will seat 30 students. Students will be notified via EMAIL (email address provided on application) as to status in the program on June 15, 2016. The student will be REQUIRED to mail or bring in the original acceptance statement for verification of acceptance in the program (please check your spam/junk email). A waitlist will only be maintained until the last day to add and will not carry over to the next application period.
2016-2017 Medical Billing and Coding Certificate Program
Application Period: March 15
th– May 31
st, 2016
COMPLETED APPLICATION CONSISTS OF:
• Application form
• Proof of completion of Math 531 or Math 521 and Eng 514 or Reading 110 OR show the course is in progress (unofficial AHC transcripts with ALL courses showing completion or in progress). If you completed one or more of these courses elsewhere, all “official” transcripts from other colleges must be turned in to the Admissions and Records Department. Please allow 10 business days to be transcribed in time to turn in your application.
UPON ACCEPTANCE
• An email will be sent out on June 15th, 2016 to students seated in the upcoming class containing an acceptance letter. This acceptance
letter must be completed and turned into the Health Sciences office by the specified date.
• It is the responsibility of the student to register and pay for all the Medical Billing and Coding classes held in each semester.
FINANCIAL AID
For assistance with registration fees and cost of supplies please contact the Financial Aid office (x3216)
ABSENCE AND TARDY POLICY
Grade points are deducted for absences in excess of two (2) per semester. Three (3) tardies are considered a full day’s absence. If you are not present when role is called, you are tardy. Missing 30 minutes of class or more during ANY part of class is considered a full day’s absence. Do not make appointments during class time. There is no such thing as an excused absence.
Fall Semester
TUITION (9 units @ $46/unit) $414.00
PARKING $20.00
HEALTH FEE, STUDENT CENTER FEES PLUS STUDENT REPRESENTATION FEE ($19+$9+$1) $30.00
REQUIRED FALL TEXTBOOKS $365.00 (est.)
MISCELLANEOUS SUPPLIES – flash drive, notebooks, pens, paper, etc. $60.00 Total is estimated $890.00
Spring Semester
TUITION (7 units @ $46/unit) $322.00
PARKING $20.00
HEALTH FEE, STUDENT CENTER FEES PLUS STUDENT REPRESENTATION FEE ($19+$7+$1) $30.00
REQUIRED SPRING TEXTBOOKS $500.00 (est.)
MISCELLANEOUS SUPPLIES – flash drive, notebooks, pens, paper, etc. $60.00 Total is estimated $935.00
TOTAL ESTIMATED COSTS TO ACHIEVE MEDICAL BILLING CERTIFICATE
$1,850.00
Prices are subject to change
I have read this application packet carefully and agree to comply with the standards and rules detailed within.
I understand that I must show proof of completion of pre-requisites with a grade “C” or better OR show proof of current enrollment. I understand that my official transcripts from ALL other colleges will be transcribed through Admissions and Records before I turn in my unofficial AHC transcripts showing completion of these pre-requisites.
I understand that I will be notified by email no later than June 15th, 2016. It is my responsibility to write my email clearly, and check my spam/junk mail. If given a
seat, the information packet will be emailed to the email address I have provided.
I understand that if I am in progress or currently enrolled in any of the pre-requisite classes, I will submit my grade(s) showing proof of passing with a grade “C” or better by they first day of class.
If I am on the waitlist (maintained until the last day to add), I understand that I will be contacted via EMAIL/PHONE CALL as seats become available and I may not have very much time to respond. It is my responsibility to complete the packet within the timeframe specified upon notification.
I certify that the statements made in this application are true and complete to the best of my knowledge and that any false or misleading information I may give may be cause to denial of admittance
Signature Date
Submitting an application does not guarantee that applicants have satisfied minimum criteria
Application
Check boxes
2016-2017 Medical Billing and Coding Certificate Program
Application Period: March 15
th– May 31
st, 2016
Deadline for this application is May 31, 2016. Applications are reviewed after the deadline. Status
notification will be emailed by June 15
th, 2016. Please type or print clearly. We will not accept illegible
applications. This application will only be used for the 2016-2017 Medical Billing and Coding
application pool.
Personal Information
Full Name:
Last First Middle
Mailing address:
Street City Zip
Primary Phone # Secondary Phone#
Social Security # Birth Date
AHC Student # Email Address (Mandatory)
Confidential Applicant Survey
Federal and state mandates require that we compile summary data on the gender and ethnicity of
applicants. To assist us in complying with this requirement we are requesting that you complete and
return this form.
It should be emphasized that it is the policy of Allan Hancock Joint Community College District that no
person shall be discriminated against on the basis of race, color, ancestry, religion, gender, national
origin, age, physical/mental disability, medical condition, marital status, or sexual orientation,
information regarding the gender and ethnicity as applicants is not supplied to any other agency and is
kept in a confidential file.
Supplying the following information is optional and will not affect the status of your application.
Name:____________________________________________________Date:_____________________
Program Applying For: 2016-2017 Medical Billing and Coding Program
Ethnic Background and Gender (please check only one):
African American
American Indian
Asian Pacific Islander
(non-Filipino)
Asian Pacific Islander
(Filipino)
Caucasian
Filipino
Hispanic
Other
Female
Male
For Office Use Only
Last Name ____________________________________________ AHC Student # H__________________________
Application and Prerequisites Completed:
Completed Program Application
AHC Unofficial Transcripts
Eng 514 or Reading 110 completed □ Currently enrolled Semester___________________
Math 531 or Math 521 completed □ Currently enrolled Semester___________________
Notes
