Learn US Medical Billing & RCM Online in Pakistan

Foundation Module · Classes 1–4

• US Healthcare System: providers, patients, payers and the revenue cycle
• Medical Billing fundamentals and the role of a Medical Biller
• Medical terminology and common healthcare abbreviations
• Patient registration, demographics and insurance information
• Practical: sample patient profile and registration exercises

Insurance Module · Classes 5–8

• Health insurance fundamentals: premium, deductible, copay and coinsurance
• Medicare, Medicaid and commercial insurance
• Insurance eligibility and benefits verification
• Coverage, authorization, referrals and patient responsibility
• Practical: eligibility and benefits verification cases

Claims Module · Classes 9–13

• Charge entry and billing information
• Claim preparation and required information
• CMS-1500 basics and important fields
• Electronic claims and clearinghouse workflow
• Claim status and claim rejections
• Practical: sample claim preparation and processing

Payments Module · Classes 14–17

• EOB (Explanation of Benefits) and payment information
• ERA (Electronic Remittance Advice)
• Allowed amount, adjustments and patient responsibility
• Insurance and patient payment posting
• Practical: EOB/ERA reading and payment posting

AR Module · Classes 18–22

• Accounts Receivable (AR) and aging
• AR categories: 0–30, 31–60, 61–90 and 90+ days
• Claim status and insurance follow-up
• Professional communication with insurance representatives
• AR reports, prioritization and documentation
• Practical: AR report and follow-up exercises

Denials Module · Classes 23–27

• Denials and the difference between rejection and denial
• Common denial reasons: eligibility, authorization, duplicate, timely filing and missing information
• Denial analysis and root-cause identification
• Denial resolution, corrected claims and resubmission
• Appeal process and basic appeal documentation
• Practical: denial and appeal case studies

Workflow Module · Classes 28–30

• Complete workflow: registration, verification, charge entry, claims, payment, AR, denials and resolution
• End-to-end medical billing case simulation
• Practical RCM performance assessment

Software Module · Classes 31–32

• Medical billing / EHR workflow
• Patient and insurance entry, claims, payments, AR and reports
• Daily work queues, documentation, productivity and quality control
• HIPAA awareness and professional confidentiality

Career Module · Classes 33–36

• Professional Medical Billing CV and ATS-friendly CV preparation
• LinkedIn profile optimization and professional positioning
• Job search strategy: LinkedIn, Indeed, Rozee and company career pages
• Recruiter communication, professional emails and follow-ups
• Medical Billing interview preparation and scenario-based questions
• One-to-one mock interview and final practical assessment
• Final CV/LinkedIn review and career action plan