3 Things a Medical Billing Professional Should Know
- 09/19/2022
- Posted by: Tri Smith, Instructor
- Categories: Medical Billing, Medical Billing Jobs
A Medical Billing professional needs to be knowledgeable, and skilled, and becoming certified with your experience will help you stand out. Medical Billers work with billing companies and insurance carriers to assist oversee the processing of payments for the medical care received by patients. Becoming a billing specialist can be relatively easy, and a medical billing certificate can help ensure your success. Here are three things every billing expert should know:
- Claims Validation
It’s a process that helps the patient have the services they received covered by their insurance carriers. A Medical Billing professional has to verify that all claims are thoroughly and accurately filled out and submitted. Sometimes this includes helping patients get prior authorizations. - Medical Coding is a Separate Process
This refers to assigning specific codes to diagnoses and procedures within the system. That process is usually handled by Medical Billing Coders. Medical Billing is its own process and field that you can pursue. Medical Billing Coders work with ICD codes (international classification of diseases) and CPT codes (current procedural terminology). - Performing Quality Assurance
This is an integral part of being a medical billing professional because it ensures that all claims are processed by following pre-established protocols. Doing so helps keep issues with medical billing claims down and approvals high.
Medical billing offices are usually found in a clinical setting, such as a hospital or clinic. You ultimately have the option to work in-house within a hospital or medical clinic, or you can choose to start a medical billing business and offer your services as a contractor.
Tri Smith is a Managing Partner and Instructor at MedicalBillingCourse.com, where he leads both the strategic direction and instructional delivery of the program. With over six years of experience, he works closely with students and internal teams to ensure the course remains aligned with real-world medical billing practices while continuing to evolve with industry needs.
His work focuses on guiding learners through the full medical billing lifecycle, from foundational processes to more advanced topics such as claim accuracy, payer communication, and compliance. He is directly involved in how the course is structured, how assessments are designed, and how students are supported as they progress from training into practical application.
Under his leadership, MedicalBillingCourse.com launched the 2026 edition of the course, which includes the new Medical Billing and Coding certification track and reflects a more modern, structured approach to training. These updates emphasize clarity, real-world readiness, and scalable learning systems that support both new students and returning graduates.
Tri has helped thousands of students complete their certification and move into roles ranging from remote billing positions to in-office healthcare settings and independent billing businesses. His approach emphasizes practical execution, consistent standards, and the ability to turn training into a real opportunity.
