Advanced Medical Billing & Insurance Claims Management

Course Duration: 10–12 Weeks (100–140 Hours)
Skill Level: Intermediate
Delivery: Online or Classroom
Certificate Awarded: Professional Medical Billing & Insurance Claims Management – Level II Certificate

Course Description

This intermediate-level course is designed for students who already understand the fundamentals of medical billing and want to advance their skills in insurance claims management, revenue cycle management (RCM), reimbursement processes, compliance, audits, and healthcare financial operations. Students gain hands-on experience using industry-standard billing workflows, resolving complex insurance claims, reducing denials, and improving reimbursement accuracy.

Learning Outcomes

Upon successful completion, students will be able to:

• Manage complex medical insurance claims.
• Submit accurate electronic insurance claims.
• Apply advanced ICD-10-CM, CPT, and HCPCS coding concepts.
• Process Medicare, Medicaid, and commercial insurance claims.
• Reduce claim denials and improve reimbursement rates.
• Perform payment posting and reconciliation.
• Conduct accounts receivable follow-up.
• Maintain HIPAA and healthcare compliance.
• Generate revenue cycle management reports.
• Use medical billing software confidently.
• Prepare for supervisory and senior medical billing roles.