Medical Claims Processing Course
This course provides essential training in medical claims processing, covering adjudication, coding, benefits interpretation, fraud detection, and denial management to enhance efficiency and accuracy in healthcare billing.

flexible workload of 4 to 360h
valid certificate in your country
What will I learn?
The Medical Claims Processing Course equips you with hands-on skills to understand EOBs, apply coverage guidelines, and confidently navigate portals, code lookup tools, and benefit schedules. You'll master the clean claims adjudication process, precise billing and coding, reasons for denials, and steps for prior authorisation, along with documentation tips, communication formats, and basic fraud spotting to handle claims quicker, minimise mistakes, and ensure proper decisions.
Elevify advantages
Develop skills
- Swift claims adjudication: accurately apply coverage, edits, and patient cost sharing.
- Hands-on coding skills: correctly use CPT, HCPCS, and ICD-10 for everyday services.
- Benefit expertise: quickly interpret deductibles, copays, coinsurance, and visit limits.
- Fraud and audit checks: identify upcoding, duplicates, and improper billing in no time.
- Effective denial communication: craft quality EOB notes, appeals, and patient letters.
Suggested summary
Before starting, you can change the chapters and the workload. Choose which chapter to start with. Add or remove chapters. Increase or decrease the course workloadWhat our students say
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