Health insurance Course
This course equips you to handle PPO plan details, EOBs, and outpatient surgery claims expertly. Spot billing errors quickly, compute patient responsibilities accurately, manage appeals effectively, and support members to cut denials, unexpected bills, and financial risks. Ideal for precise healthcare billing and support roles in Kenya's growing insurance sector.

from 4 to 360h flexible workload
valid certificate in your country
What will I learn?
Gain hands-on skills to understand PPO plans, interpret EOBs, identify billing and coding mistakes in outpatient surgery claims. Master calculating patient costs, handling appeals, using effective call scripts. Develop strong member communication, avoid debt issues, and follow workflows boosting accuracy, rules compliance, and cost clarity.
Elevify advantages
Develop skills
- Master PPO plans: break down marketplace terms, costs, and benefits clearly.
- Analyse EOBs and bills: quickly find errors, rejections, and uncovered outpatient fees.
- Excel in claims calculations: figure out approved amounts, shares, and patient balances.
- Draft strong appeals: create compliant reviews with solid evidence support.
- Advocate for members: stop collections, clarify coverage, and direct clear actions.
Suggested summary
Before starting, you can change the chapters and workload. Choose which chapter to start with. Add or remove chapters. Increase or decrease the course workload.What our students say
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