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Medical Claims Processing Course

Medical Claims Processing Course
from 4 to 360h flexible workload
valid certificate 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, alongside documentation best practices, communication templates, and fundamental fraud detection techniques to process claims more swiftly, minimise mistakes, and ensure regulatory compliance.

Elevify advantages

Develop skills

  • Swift claims adjudication: accurately apply coverage rules, edits, and patient cost-sharing.
  • Hands-on coding proficiency: correctly utilise CPT, HCPCS, and ICD-10 for everyday services.
  • Expertise in benefits: quickly decipher deductibles, copays, coinsurance, and visit caps.
  • Fraud and audit vigilance: rapidly identify upcoding, duplicates, and improper billing.
  • Effective denial correspondence: craft top-notch EOB explanations, appeals, and patient notifications.

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.
Workload: between 4 and 360 hours

What our students say

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

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