Medical Billing & Revenue Cycle Management (RCM)

Medical Billing & Revenue Cycle Management (RCM)

Course Introduction

The Medical Billing & Revenue Cycle Management (RCM) course is a tutor-led online training program designed to help learners understand how healthcare providers in the United States receive payments from insurance companies.

This course introduces medical billing concepts in a clear, structured, and beginner-friendly manner. Learners are guided by an experienced tutor who explains real-world billing workflows, insurance processes, and compliance requirements used in professional medical billing organizations.

No prior medical or billing experience is required.

About This Course

This course provides complete coverage of the US medical billing and revenue cycle process, starting from patient registration and ending with final payment or claim resolution.

Learners gain practical knowledge of:

Medical coding fundamentals

Insurance types and payer systems

Claim submission and payment posting

Denial management and AR follow-up

HIPAA compliance and healthcare regulations

The course is supported by structured PDF learning material, tutor guidance, and real-world examples to ensure strong conceptual understanding and practical application.

What You Will Learn

By the end of this course, you will be able to:

Understand the US healthcare and insurance system

Explain the complete Revenue Cycle Management (RCM) workflow

Perform patient registration and insurance verification

Understand ICD-10, CPT, and HCPCS coding fundamentals

Create and submit clean medical claims

Work with Medicare, Medicaid, and commercial insurance plans

Analyze and resolve claim denials and rejections

Perform payment posting and Accounts Receivable (AR) follow-up

Follow HIPAA guidelines and healthcare compliance standards

Course Structure & Learning Path

This course follows a step-by-step, tutor-guided learning path, ensuring gradual progression from basic concepts to practical medical billing operations.

Course Breakdown

Week 1: Healthcare & RCM Fundamentals

Overview of the US healthcare system

Introduction to medical billing & RCM

Roles and responsibilities in medical billing

Patient registration process

Week 2: Insurance & Coding Basics

Insurance types and payer systems

Medicare and Medicaid overview

Introduction to ICD-10, CPT, and HCPCS

Importance of accurate medical documentation

Week 3: Claims & Payment Process

Medical claim creation

Claim submission and clearinghouse process

Payment posting and adjustments

Understanding Explanation of Benefits (EOBs)

Week 4: Denials, AR & Compliance

Claim denials vs. rejections

Appeals and follow-up workflow

Accounts Receivable (AR) management

HIPAA compliance and best practices

Teaching Approach (Tutor-Led Online)

This course uses a Tutor-Led Online learning model, where learners are guided by an instructor throughout the program.

The tutor:

Conducts structured online sessions

Explains concepts clearly and practically

Shares real-world medical billing scenarios

Supports learners through discussions and Q&A

Downloadable PDFs are provided to reinforce learning and allow revision after sessions. This guided approach ensures clarity, accountability, and practical skill development.

Who Should Enroll

This course is ideal for:

Beginners with no medical billing background

Students interested in healthcare administration careers

Professionals working in medical billing or RCM

Individuals planning to work with US healthcare clients

Freelancers and remote healthcare support staff

Skills You Will Gain

Understanding of medical billing and RCM workflows

Insurance claim handling and follow-up skills

Coding awareness and documentation accuracy

Denial analysis and resolution techniques

Payment posting and AR management skills

Compliance and patient data confidentiality awareness

Course Duration & Time Frame

Total Duration:
4 Weeks (25–30 Hours)

Weekly Commitment:
6–8 hours per week

Tutor-guided online sessions

Structured weekly learning plan

Outcome & Career Value

After completing this course, learners will gain the knowledge and confidence required for entry-level medical billing and revenue cycle roles.

This course builds a strong foundation for working with US medical billing companies and prepares learners for advanced training, specialization, or certification pathways in medical billing and coding.