HI-1015 Insurance Billing and Coding Essentials

Skills covered:
Displaying courses for United States [Change]

Overview

Learn to increase efficiency and streamline administrative procedures for medical billing and insurance claim processing. Learn all aspects of submitting, tracing, appealing, and transmitting billing claims for today’s full range of health plans.

Syllabus

Career Role and Responsibilities

  • Role of an Insurance Billing Specialist
  • Compliance and the E-Health Initiative

The Claims Process

  • Basics of Health Insurance
  • Medical Documentation
  • Diagnostic Coding
  • Procedural Coding
  • The Paper Claim: CMS-1500
  • Electronic Data Interchange: Transactions and Security
  • Receiving Payments and Insurance Problem Solving
  • Office and Insurance Collection Strategies

Health Care Payers

  • The Blues Plans, Private Insurance, and Managed Care Plans
  • Medicare
  • Medicaid and Other State Programs
  • TRICARE and CAMPVA
  • Workers’ Compensation
  • Disability Income Insurance and Disability Benefit Programs

Inpatient and Outpatient Billing

  • Hospital Billing

Employment

  • Seeking a Job and Attaining Professional Advancement

Training provider

Teaching mode:
Online - Self paced
Classroom - Instructor Led
Online - Instructor Led
Duration: 32 days
Gooroo has partnered with the global leaders in IT training to give you access to quality training, personalised to you, targeted at increasing your job opportunities and salary.

Our pricing

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Top skills covered in this course

Content management system
United States
This skill has an average salary of
US$76,440
and is mentioned in
0.94%
of job ads in this area.