Medical Claims Processing Course
Master end-to-end medical claims processing, including coding, benefits verification, adjudication, handling denials, conducting audits, and detecting fraud. Gain practical, job-ready skills to minimise errors, accelerate payments, enhance compliance, and communicate effectively with patients, providers, and payers in a Kenyan healthcare context.
from 4 to 360h flexible workload
valid certificate in your country
What will I learn?
This course equips you with hands-on skills to interpret EOBs, apply coverage rules, and confidently use portals, code lookup tools, and benefit tables. Master clean claims adjudication workflows, precise billing and coding, denial management, prior authorisation processes, documentation standards, communication templates, and basic fraud detection to process claims quicker, cut errors, and ensure compliant decisions in medical billing.
Elevify advantages
Develop skills
- Fast claims adjudication: apply coverage, edits, and patient cost sharing accurately.
- Practical coding skills: use CPT, HCPCS, and ICD-10 correctly for common services.
- Benefit mastery: interpret deductibles, copays, coinsurance, and visit limits fast.
- Fraud and audit checks: spot upcoding, duplicates, and abusive billing in minutes.
- Clear denial communication: write high-quality EOB notes, appeals, and patient letters.
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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