Course Overview
Our Eligibility & Benefits Verification and Pre-Authorization training program provides comprehensive knowledge and practical skills required to work in the critical front-end processes of US healthcare revenue cycle management. This course covers all aspects of insurance verification, benefits determination, and authorization procedures.
Through hands-on training with real-world scenarios and industry-standard tools, you'll gain the expertise needed to prevent claim denials and ensure proper reimbursement for healthcare services.
Download Course Content
Included in this download:
- Complete Eligibility & Pre-Auth Training Manual (PDF)
- Insurance Verification Process Guide
- Benefits Determination Reference Materials
- Authorization Request Worksheets
- Practice Scenarios with Solutions
- Industry Terminology Glossary
Course Modules
Our structured curriculum covers all essential aspects of eligibility verification and pre-authorization:
Insurance Fundamentals
Understanding different insurance types (PPO, HMO, POS), payers, and coverage structures in US healthcare.
Eligibility Verification
Methods for verifying patient eligibility, active coverage status, and effective dates through various portals.
Benefits Determination
Analyzing plan benefits, deductibles, copays, coinsurance, out-of-pocket maximums, and coverage limitations.
Pre-Authorization Process
Understanding when authorization is required, submission procedures, documentation requirements, and tracking.
Payer Communication
Effective communication with insurance representatives, obtaining necessary information, and resolving issues.
Practical Training
Hands-on experience with real-world scenarios, insurance portals, and electronic verification systems.
Course Duration
1 Month
1 hour per day, 5 days a week
Flexible timing options
Course Fee
12000/- Rs.
Installment plans available
Early bird discounts
Profile Creation
Resume Building
100% Placement Assistance
Interview preparation
Who Should Enroll?
- High school graduates seeking healthcare careers
- Medical receptionists transitioning to RCM roles
- Individuals interested in US healthcare insurance systems
- Candidates with strong attention to detail
- No prior medical knowledge required
- Basic computer literacy needed
Career Pathways
Graduates of our program qualify for these rewarding positions:
Average starting salary: 3.5 - 7.5 Lpa per year
Opportunities with hospitals, clinics, billing companies, and RCM firms
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