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Medical Claims Processing Course

Medical Claims Processing Course
from 4 to 360h flexible workload
certificate valid in your country

What will I learn?

The Medical Claims Processing Course equips you with hands-on skills to interpret 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, common denial triggers, and prior authorisation procedures, along with essential documentation, communication formats, and introductory fraud detection techniques to handle claims more efficiently, minimise mistakes, and ensure regulatory compliance.

Elevify advantages

Develop skills

  • Quick claims adjudication: accurately apply coverage, edits, and patient cost sharing.
  • Hands-on coding skills: correctly utilise CPT, HCPCS, and ICD-10 for everyday services.
  • Expertise in benefits: swiftly interpret deductibles, copays, coinsurance, and visit limits.
  • Fraud and audit detection: identify upcoding, duplicates, and improper billing rapidly.
  • Effective denial communication: craft professional EOB notes, appeals, and patient correspondence.

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.
Workload: between 4 and 360 hours

What our students say

I was just promoted to Intelligence Advisor of the Prison System, and the course from Elevify was crucial for me to be chosen.
EmersonPolice Investigator
The course was essential to meet the expectations of my boss and the company where I work.
SilviaNurse
Very great course. Lots of rich information.
WiltonCivil Firefighter

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