Healthcare Business 104 focuses on the essential processes of billing, authorizations, and reimbursement for healthcare business operations. This course is designed to help business owners and administrators understand how to correctly bill insurance companies, manage authorizations, and ensure timely payments for services rendered.
Participants will gain practical knowledge on setting up billing systems, submitting clean claims, managing denials, and maintaining compliance with payer requirements. The course also covers how to work effectively with authorization departments and case managers to keep services approved and active.
Topics include:
Setting up and managing billing systems
Submitting claims and handling reimbursements
Understanding authorizations and documentation requirements
Managing denied claims and resubmissions
Maintaining compliance with payer and state regulations
By the end of this course, you will have the tools and confidence to manage your organization’s billing and authorization processes efficiently and effectively.