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Revenue Cycle Management in Medical Billing (Accredited)
Role Play
4,276 students
Revenue Cycle Management in Medical Billing (Accredited)
Includes Real World Setup Simulation | Practical Revenue Cycle Management (RCM) with Exam, Feedback and Certification.
Created byLearndrive Courses
Last updated 6/2025
English
What you'll learn
- You will gain an understanding of the 16 steps involved in Revenue Cycle Management in Healthcare.
- You’ll learn how to explain and clear up financial transactions in medical billing, including pre-registration and insurance verification.
- You will Learn what makes up a high performance pre-registration unit and what information is needed during patient registration.
- You will discover how to verify a patient's insurance coverage and the financial responsibility of the patient in medical billing.
- You’ll learn about the three categories of CPT along with an overview of ICD-10-CM and HCPS.
- You will discover the definition, five step process, and best practices for charging in medical billing.
- You will learn what is included in a medical claim, how to submit a claim in 4 steps, and what happens after submission.
- You’ll Know about the KPIs that needs to be tracked to maintain healthy accounts in medical billing.
- You will learn how to improve the efficiency of your A/R process by automation.
- You will discover the six steps of an effective denial management process, master best practices, and devise strategies to effectively manage denials.
- you will actively engage with supplemental materials, course notes, and quizzes in each section of thisto measure and enhance your understanding in RCM.
- You'll utilize the RCM Course audiobook provided in the resource section of each unit to deepen your understanding and complement your learning experience.
- You will receive tutor support & communicate with tutor through inbox.
- You will obtain a Certificate of Completion in Revenue Cycle Management (RCM) in Medical Billing 2024।
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Course content
12 sections • 70 lectures • 3h 14m total length
Requirements
- Basic computer literacy and strong organizational skills are necessary to manage complex billing cycles and adhere to deadlines.
- Open to all with no prior experience in medical billing or RCM; ideal for beginners eager to explore the field.
Description
Master Revenue Cycle Management with Real-World Skills
Join thousands of learners already benefiting from our top-rated Revenue Cycle Management (RCM) course — now with enhanced, hands-on features designed to take your understanding of medical billing to the next level.
With nearly 250 five-star reviews, this course stands out for its clarity, depth, and practicality. And now, it’s even more powerful.
New expert-led lectures
AI-powered role play scenarios to simulate real-world RCM conversations
Step-by-step demonstration of RCM process setup in actual healthcare environments
20+ downloadable resources and in-depth articles
Short quizzes and summaries after each section
Practice test and writing assignments with personalised feedback
You won’t just learn theory — you’ll apply it. Our AI Role Play Feature lets you engage with virtual case studies, giving you the confidence to handle RCM processes in real-life medical billing settings.
Do you know that you can help health care organizations identify inefficiencies, optimize processes, reduce denials, and increase revenues? The key to all these things is to master Revenue Cycle Management (RCM).
Our Accredited Revenue Cycle Management Course walks you through all the steps in revenue cycle management. Revenue cycle management is a way for healthcare providers to manage their administrative and clinical functions. With proper RCM, care providers can maximize their claim reimbursements, improve their medical billing process and increase their patient service revenue.
This course teaches you the 16 steps to revenue cycle management for effective medical billing. We'll teach you everything you need to know about pre-registration and insurance verification. You will also get a basic understanding of medical coding, charge entry and claim submission.
In addition, you'll learn about account receivable, denial management, and medical billing reporting best practices. If you are looking for a quick and effective guide to revenue cycle management, then this course may be the one for you.
Real World Examples!
This course now teaches real world demonstration and teaches how to set up and use Revenue Cycle Management systems in a real world. To provide practical insight into RCM software functionality, the course features a dedicated section demonstrating OpenEMR — a fully open-source electronic medical records and RCM system. This demonstration offers a clear, visual understanding of navigating typical RCM and medical records environments. Please note, this section is designed for illustrative purposes to help you familiarize yourself with system workflows and navigation.
Don't miss this chance to become a revenue cycle management expert. Earn an accredited certificate and enjoy lifetime access by enrolling today.
Enrol today and unlock practical skills, career-ready knowledge, and certified results.
This course comes with the following Sections:
Introduction to Revenue Cycle Management (RCM) in Healthcare : You will learn the basics of revenue cycle management in medical billing including the steps involved and knowledge requirement to become an expert in RCM.
Pre-Registration and Insurance Verification: We will show you how to explain and clarify financial transactions, including the steps involved in the pre-registration and insurance verification process.
Medical Coding, Charge Entry and Claim Submission: This section will teach you medical coding standards and systems, charge entry and claim submission to ensure accurate medical billing, reimbursement, and financial operations.
Introduction to CPT Coding: Learn the basics of CPT coding, its history, and its critical role in healthcare for accurate documentation, billing, and reimbursement processes.
Structure of CPT Codes: Understand the categories, format, symbols, and modifiers of CPT codes to accurately interpret and use them in medical billing and coding.
Accounts Receivable (A/R) and A/R Follow-up : We will cover accounts receivable (A/R) process, best practices and challenges in medical billing. You will also learn how to reduce A/R days and automate process from this RCM course.
Denial Management and Reporting in RCM: You will learn the strategic process of analysing, correcting, and preventing claim denials. We will also teach revenue reporting process metrics in revenue cycle management (RCM).
Whether you’re starting out or upskilling in healthcare admin, this course delivers exactly what you need to succeed in Revenue Cycle Management.
Who this course is for:
- RCM specialists and medical billing experts aiming to update their skills with the latest practices and technologies in the field.
- Healthcare professionals seeking to expand their knowledge in revenue cycle management and enhance their skills in medical billing.
- Finance and accounting professionals in the healthcare sector looking to deepen their understanding of medical billing processes.
- Health administrators and managers responsible for overseeing the financial operations of healthcare facilities.
- Healthcare students and recent graduates aiming to establish a career in medical billing or RCM.
- Individuals aspiring to work in hospitals, medical billing companies, or any healthcare facility, seeking a comprehensive understanding of RCM.
- Career changers or individuals from non-medical backgrounds who have a keen interest in the healthcare industry, particularly in the financial and billing aspects.