Course Outline - Medical Billing Training Program
Course Duration: 20 hrs
Course Fee: 7500 Rs.
Learn US Medical Billing from a Medical Professional + Trainer
Designed for freshers, life science graduates, allied health professionals, and anyone looking to build a career in US healthcare revenue cycle management.
This training combines theory + real billing workflows + denial handling scenarios to help learners understand how medical billing works in real-world practice.
What You’ll Learn
- Module 1: Introduction to US Healthcare & Revenue Cycle Management
- Overview of the US healthcare system
- Providers, payers, patients, and clearinghouses
- Introduction to Revenue Cycle Management (RCM)
- Insurance basics
- Key medical billing terminology
- Module 2: Medical Billing Process
- Patient registration
- Insurance verification
- Prior authorization basics
- Charge entry
- Claim submission workflow
- Payment posting
- Accounts receivable follow-up
- Denial management process
- Module 3: Claim Forms
- CMS-1500 claim form
- UB-04 claim form
- Important claim form fields
- Common claim submission errors
- Module 4: Insurance Concepts
- Deductibles
- Copayments
- Coinsurance
- Out-of-pocket maximum
- In-network vs out-of-network
- Managed care plans
- Module 5: Coordination of Benefits (COB)
- Primary vs secondary insurance
- COB rules
- Common COB denials
- How to resolve COB issues
- Module 6: Medical Necessity
- What medical necessity means
- Documentation requirements
- Insurance approval guidelines
- Common denials related to medical necessity
- Module 7: Claim Status & Follow-Up
- Checking claim status
- Understanding payer responses
- Rejections vs denials
- Follow-up workflow
- Module 8: Denials Management
- Common denial types
- Root cause analysis
- Fixing denied claims
- Preventing repeat denials
- Module 9: CARC & RARC Codes
- Understanding denial codes
- Common CARC codes
- Common RARC codes
- Real-world examples
- Module 10: Appeals Process
- When to appeal claims
- Appeal documentation
- Writing appeal letters
- Escalation process
- Module 11: Accounts Receivable (AR)
- AR fundamentals
- Aging reports
- Follow-up strategies
- Collections workflow
- Module 12: Real-Time Case Scenarios
- Live denial scenarios
- Claim correction exercises
- Mock billing workflows
- Practical assignments
- Bonus Learning
- Resume guidance for medical billing jobs
- Interview preparation
- Real workflow exposure
- Beginner-friendly notes and templates
Who Can Join?
- Life science graduates
- Medical graduates
- Pharmacy graduates
- Nursing graduates
- Allied health professionals
- Freshers looking for work-from-home opportunities
- Professionals transitioning into US healthcare careers
Training Format
- Live online sessions
- Practical examples
- Notes provided
- Assignment-based learning
- Beginner friendly
Why Learn With Me?
As a healthcare professional with experience in medical writing, healthcare education, and medical billing training, I focus on simplifying complex healthcare workflows into practical, easy-to-understand lessons.