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Fundamentals Of Health Insurance, Part B (Basics Of Company Operations)

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Go from theory to real life. After you master the basics covered in Fundamentals of Health Insurance, Part A (Basics of Health Insurance), build from there by focusing on the operational side. The Fundamentals of Health Insurance, Part B (Company Operations) online self-study course provides a thorough introduction to the business principals, processes, and procedures that make health insurance work. You’ll come away with practical knowledge that helps you do your job even better.

At a Glance

  • 8-hour course length, plus 1 exam
  • Students have up to 90 days to complete course
  • Counts toward DHP, HCSA, HIA®, and MHP professional designations
  • Flexible, self-paced online format
  • Technical support available by phone or email

What You’ll Learn

  • Explore how group health insurance plans are administered
  • Understand the landmark health care reform initiatives that underpin the health care industry
  • Gain a solid foundation in policy issuance, installation, and the renewal process
  • Get up to speed on premium billing and payment
  • Learn how to manage, submit, and process claims
  • Identify best practices for controlling operational costs
  • Assess how health insurance providers promote cost-effective health care
  • Put the brakes of fraud and abuse: learn how to define, detect, and prevent it
  • Nail the concepts behind product pricing strategies
  • Learn how to navigate the regulatory process at the state and federal levels
  • Understand how advances in health information technology lead to improvements in health care quality and efficiency
  • Dive into the concept of medical homes and see how their focus on preventive care lowers costs
  • Learn the elements, implementation, and expected return from wellness programs
  • Pinpoint who buys and sells health care and at what pricing levels
  • Assess the federal government’s role in advancing cost and quality transparency

Who Should Take This Course

  • Agents and brokers
  • Case managers
  • Health insurance provider staff
  • Medical directors
  • Technical business solutions advisors

Enrollment

  • $165 AHIP Members
  • $215 Non-members

To enroll in a course, please log in and browse our online catalog. If you are a new user, please create an account to get started.

For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 800.509.4422. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Publications

Health Insurance Nuts and Bolts: An Introduction to Health Insurance Operations

  • $40 AHIP Members
  • $50 Non-members

Earn a Career-Driving Professional Designation

This course is good toward earning the following designations:

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