Certification Program in Healthcare Insurance and Billing

Master the Essentials of Insurance Coding, Billing Processes & Reimbursement in Healthcare

Program Overview

The Certificate in Healthcare Insurance and Billing at Futureace Healthcare Academy is a 3-month, industry-tailored program designed to provide comprehensive training on insurance coding, billing processes, and reimbursement systems in the healthcare sector.

With the healthcare industry’s increasing dependence on insurance claims and billing accuracy, this course prepares professionals to tackle the complex world of medical billing, insurance policies, reimbursement processes, and compliance with healthcare regulations.

Ideal for individuals aiming to advance their careers in hospital administration, medical billing, coding, or those interested in specializing in healthcare finance, this course combines practical knowledge, real-world case studies, and interactive learning to ensure that students are equipped to handle the demands of the healthcare insurance and billing landscape.

Program Duration

  • 3 Months (12 Weeks)
  • Weekend & Weekday Batches Available
  • Online & Offline Learning Options

Who Can Enroll?

Eligibility: Plus Two (12th grade) or Above Qualification

Open to:

  • Graduates looking to specialize in healthcare billing & insurance
  • Healthcare professionals seeking to transition into billing roles
  • Aspiring medical coders, billing managers, and healthcare finance professionals
  • Anyone interested in pursuing a career in healthcare insurance, billing & coding
theme-05
theme-01
theme-09
theme-07

Program Modules & Curriculum

Module 1: Introduction to Healthcare Insurance & Billing

Overview of Healthcare Insurance in India & Global Healthcare Systems
Understanding insurance policies, claims, and reimbursement cycles
Role of insurance companies, providers, and patients in the billing process
Basics of billing, coding, and revenue cycle management (RCM)

Module 2: Medical Coding Systems & Billing Process

ICD, CPT, and HCPCS coding systems – Overview and application
Code assignment for procedures, diagnoses, and treatments
Claim preparation & submission process
Denial management & understanding rejections
How to ensure compliance with industry standards and regulations

Module 3: Insurance Reimbursement & Payment Systems

Understanding reimbursement policies and payment timelines
Government healthcare reimbursement systems (e.g., PMJAY, CGHS)
Private insurance company reimbursement models
Billing for outpatient and inpatient services
Managing adjustments, refunds, and payment disputes

Module 4: Healthcare Compliance, Regulations, and Ethical Billing Practices

Regulatory standards in healthcare billing (e.g., HIPAA, OIG)
Avoiding fraudulent billing practices and ensuring transparency
Compliance with Indian health insurance guidelines and global best practices
Navigating the legal aspects of healthcare billing and insurance
Case studies on compliance and billing errors

Key Takeaways & Skills Acquired

  • Comprehensive understanding of healthcare insurance policies & billing processes
  • Medical coding systems and accurate coding practices
  • Handling insurance claims, rejections & denial management
  • Insurance reimbursement policies & payment systems
  • Compliance with healthcare regulations and ethical billing practices

Career Opportunities After Completion

Upon completion of the Certificate in Healthcare Insurance and Billing, students can explore high-demand career opportunities in the growing healthcare insurance and billing sectors, including:

  • Medical Billing Specialist
  • Medical Coder
  • Insurance Claims Specialist
  • Healthcare Reimbursement Specialist
  • Revenue Cycle Manager
  • Healthcare Billing Coordinator

Why Choose Futureace Healthcare Academy?

At Futureace Healthcare Academy, we provide:

  • Expert-led Training & Insights from Industry Leaders
  • Real-life Case Studies & Practical Simulations
  • Hands-on Experience in Medical Coding & Billing Software
  • Certification Recognized by Leading Healthcare Employers
  • Career Support & Placement Assistance
Enroll Now
98956 23801

Headquarters Address

Futureace coporate office, Opp Lulu India Head Office, NH17 Service Road, Nethaji Nagar, Edapally 682024.

Campus Address

Cochin Public School Road, Thrikkakara, Kochi - 21
(Monday - Saturday)
Contact Us