Medical Claims Processing Course
This course equips learners with essential skills for efficient and accurate medical claims processing, covering adjudication workflows, coding, benefits interpretation, fraud detection, and effective communication to minimize errors and ensure compliance.
from 4 to 360h flexible workload
valid certificate in your country
What will I learn?
The Medical Claims Processing Course gives you practical skills to read EOBs, apply coverage rules, and use portals, code lookup tools, and benefit tables with confidence. Learn clean adjudication workflow, accurate billing and coding, denial reasons, and prior authorization steps, plus documentation, communication templates, and fraud detection basics so you can process claims faster, reduce errors, and support compliant decisions.
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 workloadWhat our students say
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