Health Claims Examiner â€“ Practical Application Medisoft Course
|Health Claims Examiner - Practical Application|
In this course the students will understand the insurance industry and the responsibilities of departments with insurance companies and the claims examiners. Students will also learn to interpret insurance contracts, the legal ramifications of specific actions, how to calculate UCR, and how to process health claims.
In this course the students will gain practical knowledge of an on-line medical billing or claims processing system and will actually be involved in processing or billing claims on these systems. All the rules they would be expected to obey on the job will be demonstrated by the student, including proper grooming and attire, showing up on time, dealing with co-workers (other students) and supervisors (teachers), processing or billing claims quickly and accurately, and proper use of reference materials. Students will learn to process health claims, including proper use of reference materials. Students will learn to process health claims, including DXL, multiple and assistant surgery anesthesia, hospital and COB, and others. In addition, students will learn common lab tests, which are usually ordered for certain diagnoses.