Claims processing Identify the appropriate claims requirements processing requirement by medical providers Medical provider requirements Evaluate completeness of claims documents for processing Third-party payers Patient Information 2.2 Screen Discussion Written exam 12 Healthcare Laws and Ethics Checking claim eligibility and claims Demonstration Demonstration authorization Healthcare Insurance and Project type Direct Plans Performing research activities to observation screen claims Government Insurance Practicing mathematical concept Clearinghouse to process claims Medical billing software Identifying and analyzing Basic mathematical tools variances and discrepancies in Precision and accuracy claims Communication skills Creating report log to communicate with client 2.3 Process Brain storming Written exam 12 Healthcare Laws and Ethics Identify correct billing information claims/billing Discussion Demonstration Medical Coding Systems Maintain data confidentiality and Demonstration Interview / security Client-specific guidelines and questioning claims processing standards Demonstrate research capability Apply appropriate guidelines when processing claims 3.1 Manage Record the appropriate Lecture Written exam Basic mathematical 4 Manage account payments and balances Discussion Demonstration tools/accounting process medical receivable Create report log to Demonstration Interview Communication skills claims communicate action for Project type Research skills payers and providers re Medical documentation documentation Computer operation Checks various payer portals for payment status and reasons for non-payment
Claims processing requirements Medical provider requirements Third-party payers Patient Information Identify the appropriate claims processing requirement by medical providers Evaluate completeness of claims documents for processing 2.2 Screen claims Healthcare Laws and Ethics Healthcare Insurance and Plans Government Insurance Clearinghouse Medical billing software Basic mathematical tools Precision and accuracy Communication skills Checking claim eligibility and authorization Performing research activities to screen claims Practicing mathematical concept to process claims Identifying and analyzing variances and discrepancies in claims Creating report log to communicate with client Discussion Demonstration Project type Written exam Demonstration Direct observation 12 2.3 Process claims/billing Healthcare Laws and Ethics Medical Coding Systems Client-specific guidelines and claims processing standards Identify correct billing information Maintain data confidentiality and security Demonstrate research capability Apply appropriate guidelines when processing claims Brain storming Discussion Demonstration Written exam Demonstration Interview / questioning 12 Manage medical claims 3.1 Manage account receivable Basic mathematical tools/accounting process Communication skills Research skills Medical documentation Computer operation Record the appropriate payments and balances Create report log to communicate action for payers and providers re documentation Checks various payer portals for payment status and reasons for non-payment Lecture Discussion Demonstration Project type Written exam Demonstration Interview 4