
Master Referrals, Prior Authorizations, Benefits Verifications, and Authorization Denial Management in Medical Billing
Sub Category
- Management
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Objectives
- What referrals and prior authorizations are — and why they matter in healthcare
- How to verify a patient’s insurance eligibility and benefits step-by-step
- When and how to request a referral for a specialist or service
- How to submit prior authorization requests and what documents are required
- How to use payer portals, EHRs, and practice management systems for these tasks
- Common reasons for referral and authorization delays or denials — and how to fix them
- How to track your work using KPIs and SLAs for better productivity
- Tips and templates to improve communication with providers, patients, and payers
Pre Requisites
- No prior healthcare or medical billing experience needed
- A willingness to learn and follow step-by-step processes
- Basic computer skills (using email, websites, and online forms)
FAQ
- Q. How long do I have access to the course materials?
- A. You can view and review the lecture materials indefinitely, like an on-demand channel.
- Q. Can I take my courses with me wherever I go?
- A. Definitely! If you have an internet connection, courses on Udemy are available on any device at any time. If you don't have an internet connection, some instructors also let their students download course lectures. That's up to the instructor though, so make sure you get on their good side!
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