Medical billers keep healthcare organisations solvent. This course walks through the entire revenue cycle: registration and eligibility, charge entry, claim creation and submission, payer processing, payment posting, denial management, patient billing and compliance. It explains the forms, codes, terms and workflows a biller uses every day, with a worked example in every lesson. It is independent study material and does not issue any credential.

Modules

Billing Foundations

Lessons

• What a Medical Biller Does Preview
• Insurance Terminology
• The Revenue Cycle Overview

Front-End Billing

Lessons

• Registration and Demographics
• Eligibility Verification and Authorisation
• Charge Entry and the Superbill

Claims and Submission

Lessons

• Claim Forms: CMS-1500 and UB-04
• Clearinghouses and Electronic Submission
• Clean Claims and Common Errors

Payment and Denials

Lessons

• Reading Remittances and Posting Payments
• Denial Management
• Appeals and Payer Follow-Up

Patient Billing and Collections

Lessons

• Patient Statements and Communication
• Financial Assistance and Payment Plans
• Collections and Compliance

Compliance and Career

Lessons

• Billing Compliance and Fraud Prevention
• Key Performance Metrics
• Career Paths and Continuing Growth