Role-Specific Training – Traditional training focuses on an overall business process, without regard for the individual's role. By contrast, ZaranTech's series of role-based courses delivers in-depth training on a specific role within the business process. Hands-on Mentoring – Our expert trainer's work side-by-side with each trainee and teach proven discipline and techniques for successful delivery. Mentoring is "hands-on" as part of actual projects to gain real-time experience. Real-time Project Experience – Comprehension of practical skills is both reinforced and demonstrated in our training programs by completing Case studies of actual projects. Certification Exams –Our trainers are all certified and provide expert industry level guidance to certification exams with tips and tricks to guarantee consistency of skills and practices for a successful completion of certification. Ongoing Education – ZaranTech continues to offer new courses so you can keep up-to-date on latest technologies and best practices. After reviewing your goals, and assessing your current IT skills capability, ZaranTech will tailor an after-the-training program and placement plan that will meet your needs in successful placement. This includes Resume preparation assistance, Mock interviews (technical and project based), Soft Skills and On-the-job support.

Topics Covered

Modules Covered in this Training In this training, attendees learn: Health Insurance - Overview Claims Process EDI Transactions-I EDI Transactions-II Facets - Overview Health Information Exchange Attendees also learn: Resume Preparation Guidelines and Tips Mock Interviews and Interview Preparation Tips Topics Covered Health Insurance - Overview: What is Health Insurance Components of Health Insurance Types of Health Insurance Coverages Types of Health Insurance (HMO, PPO, POS) Provider vs. Payer, and NPI Claims Process: Claims Process Flow Claims Submission Claims Adjudication Processing Encounters Submission Compliance Check EDI Transactions-I: 837 EDI Claims; 835 Remittance Edits and Validations Reports and Acknowledgements EDI Transactions-II: Other EDI 5010 Transactions ICD-10 Impacts ICD-10 Implementation Roadmap DRG, CPT, HCPCS TR3 Documentation, Companion Guide Facets - Overview: Facets Functional Modules Data Model Pricing Workflow DRG Processing HIPAA Compliance Health Information Exchange: Affordable Care Act / Govt Reforms Electronic Medical Records Healthcare Exchange Review Templates/Sample Artifacts

Who should attend

Entry-level IT Business Analysts Non IT professionals aspiring to get into Business analysis/analyst. Self-taught IT Business Analysts wanting to fill in the gaps and put all the pieces together Systems Analysts and programmers interested in expanding their role into the business area

Pre-requisites

Entry-level IT Business Analysts Non IT professionals aspiring to get into Business analysis/analyst. Self-taught IT Business Analysts wanting to fill in the gaps and put all the pieces together Systems Analysts and programmers interested in expanding their role into the business area

What you need to bring

Internet and computer/laptop

Key Takeaways

Focus on Hands on training with lot of assignments, practice exercises and quizzes Assignments, Video recordings after each session posted on Training Blog Quality Study material Case Studies based on Real-time project based Scenarios Certification Guidance Certificate of Participation at the end.