Learn the fundamentals of medical coding, billing processes, insurance verification, and healthcare regulations. The course provides hands-on experience with industry-standard software.
Medical billing is the process of submitting and following up on healthcare claims with insurance companies to receive payment for services rendered by healthcare providers. It serves as a bridge between healthcare providers, insurance companies (payers), and patients, ensuring accurate and timely reimbursement for medical services.
To train staff on advanced eligibility verification methods that help prevent claim denials and ensure upfront accuracy in insurance validation.
Verifying insurance eligibility before the date of service (DOS) involves confirming plan type, coverage, co-pays, deductibles, and out-of-pocket expenses. This ensures benefits are active and the correct payer is selected. Document verification details with reference numbers and communicate discrepancies to the registration or billing teams.
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In medical billing, Production (Data Entry) refers to the process of accurately entering and processing patient information, medical codes, and billing details into a healthcare provider’s billing system or practice management software. The primary purpose of this step is to ensure that claims are correctly prepared for submission to insurance companies or government payers (like Medicare/Medicaid) for reimbursement.
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Accounts Receivable (AR) in medical billing refers to the outstanding payments owed to a healthcare provider for services rendered but not yet collected from insurance companies, patients, or other payers. The primary purpose of AR management is to track, follow up, and collect reimbursements efficiently to maintain a healthy cash flow.
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| 6 | Introduction to AR in RCM | Overview of AR role, impact on revenue cycle, payer types, key definitions | ||||
| 7 | Aging Buckets & Claim Prioritization | Understanding 0–30 to 120+ day buckets, how to prioritize claims based on TFL and payer behavior | ||||
| 8 | Denial Management | Types of denials, using reason/remark codes, denial trends, corrective actions | ||||
| 9 | Appeals & Reprocessing | Filing appeals, resubmission guidelines, supporting documents, and timelines | ||||
| 10 | Insurance Communication | Calling payers, documenting call notes, and using call reference numbers effectively | ||||
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Payment Posting and Adjustments are crucial steps in the medical billing revenue cycle that ensure accurate financial records, proper reimbursement tracking, and compliance with payer contracts.
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Credentialing (also called Provider Enrollment or Payor Enrollment) is the process of verifying and approving healthcare providers to participate in insurance networks. It ensures that physicians, facilities, and other healthcare professionals meet the required standards to bill insurers and receive reimbursements
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| 15 | Credentialing and Contracting Importance | Describe contracting and credentialing and their significance for billing. | ||||
| 16 | Type of insurance and providers | Group type, insurance, facilities, and providers. | ||||
| 17 | CAQH/PECOS & Credentialing documents | Provide a summary of the CAQH/PECOS account and other credentials. | ||||
| 18 | In-network/Out of network/plan Davison/Re-credentialing | Describe the various provider statuses based on credentialing. | ||||
| 19 | Insurance FU and reporting | FU is crucial, TAT, credentialing, and reporting. | ||||
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IPS Uni’s course covers everything from running SEO campaigns, social media marketing, and managing WordPress websites, equipping students with practical skills for freelance and full-time roles.
The course equips you with skills to manage campaigns, social media, and analytics, allowing you to confidently take freelance projects or secure full-time roles in marketing teams.
Yes, IPS Uni provides a recognized certificate after completion, enhancing credibility and employability for freelance projects or full-time digital marketing positions.
The course teaches route planning, freight management, scheduling, and carrier communication through practical exercises and software simulations, making you job-ready for logistics and trucking companies.
Truck Dispatch skills are highly valuable and in demand in Pakistan and abroad. They offer strong career opportunities in logistics firms, trucking companies, and international freight management.
You can work as a Medical Billing Specialist, Insurance Claims Processor, or Revenue Cycle Analyst in billing companies locally and internationally, with strong career growth potential.
