Health insurance Course
This course equips you with essential skills to master PPO plan structures, interpret EOBs, and process outpatient surgery claims accurately. Learn to detect billing errors swiftly, compute patient responsibilities precisely, manage appeals effectively, and advocate for members to minimise denials, unexpected costs, and financial risks while ensuring regulatory compliance and operational efficiency.

flexible workload of 4 to 360h
valid certificate in your country
What will I learn?
Gain hands-on expertise in understanding PPO plans, analysing EOBs, identifying billing and coding mistakes in outpatient surgery claims. Master calculations for member liability, handling appeals and reconsiderations, using effective call scripts. Develop strong communication skills with members, avoid collection problems, and implement efficient workflows for better accuracy, compliance, and cost clarity.
Elevify advantages
Develop skills
- Master PPO plans: interpret marketplace terms, costs, and benefit details confidently.
- Analyse EOBs and bills: quickly identify errors, denials, and non-covered outpatient expenses.
- Excel in claims calculations: determine allowed amounts, cost shares, and patient balances accurately.
- Draft effective appeals: create compliant reconsiderations backed by solid documentation.
- Champion member support: prevent collections, clarify coverage, and outline clear action steps.
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 workload.What our students say
FAQs
Who is Elevify? How does it work?
Do the courses have certificates?
Are the courses free?
What is the course workload?
What are the courses like?
How do the courses work?
What is the duration of the courses?
What is the cost or price of the courses?
What is an EAD or online course and how does it work?
PDF Course