Overview
Post ERAs/EOBs accurately, reconcile deposits, and balance to zero, Interpret payer codes (CARC/RARC), map to adjustments, and reduce variances, Apply contracts/allowables to spot underpayments and recover revenue, Build end-to-end posting workflows with internal controls and QA checks, Manage denials, zero-pays, recoupments, refunds, and takebacks compliantly, Handle COB/MSP, capitation, bundles, and special payer scenarios, Align posting to GL, close month-end, and support audit readiness (HIPAA/HITECH, BAA), Use automation, 835/837/277CA files, and analytics dashboards to improve collections
Payment posters, AR specialists, and junior billers seeking mastery, Medical coders/billers transitioning to posting and reconciliation roles, Practice managers and revenue cycle leads improving cash flow accuracy, Healthcare IT/compliance teams implementing HIPAA/HITECH and BAAs, Accountants/finance staff supporting GL, month-end, and audits, Students and career-changers entering medical billing and RCM
Basic computer skills, Interest in insurance, RCM operations, and compliance, Willingness to follow step-by-step workflows and quality controls, No prior medical billing experience required (beginner-friendly)
This course is designed to help learners of all backgrounds understand and apply payment posting in medical billing and revenue cycle management (RCM) in real-world healthcare settings. Whether you’re working in medical coding, billing, administration, nursing, Healthcare IT, or finance, this course emphasizes HIPAA, HITECH, Business Associate Agreements (BAA), data protection, data safety, insurance rules, and compliance—and turns them into practical skills for ERAs/EOBs, allowables, underpayment detection, denials, refunds, and GL reconciliation within an integrated RCM workflow.
You’ll learn how posted payments connect to contracts and payer policies—how to read 835 ERA files, interpret CARC/RARC codes, and translate them into accurate adjustments and transfers. You’ll also master handling COB/MSP situations, patient responsibility, refunds/recoupments, and month-end processes that tie to the general ledger, with clear documentation to support auditors and compliance (HIPAA/HITECH, BAA). The course includes payer-type nuances, automation opportunities, and analytics for spotting trends that accelerate collections.
Designed to be beginner-friendly, this course offers clear explanations, interactive exercises, and realistic examples from EHR/PM systems, ERAs/EOBs, bank deposits, and billing documentation to help reinforce learning. No prior medical knowledge is needed.
What You’ll Learn
Understand the structure and components of payment posting in RCM
Learn how allowables and contracts drive adjustments and underpayment detection
Recognize payer reason codes (CARC/RARC) and documentation requirements
Apply posting best practices in clinical, coding, and administrative contexts
Interpret ERAs/EOBs, manage variances, and post cleanly to patient accounts
Strengthen communication across billing, finance/GL, and compliance teams
Prepare for roles in payment posting, AR, revenue integrity, and RCM support
Course Features
60+ video lessons organized by workflow, payer type, and financial controls
Systematic breakdown of 835 ERA/EOB interpretation with real-life examples
Focus on high-frequency denials, variances, refunds, and recoupment scenarios
Easy-to-follow format, suitable for all learners—including ESL students
Accessible on mobile, desktop, or tablet
Who This Course Is For
Aspiring and current payment posters, billers, and AR/collections staff
Finance and practice management professionals supporting GL and month-end close
Healthcare IT/compliance professionals implementing HIPAA/HITECH and BAAs
Anyone entering medical billing who needs practical, job-ready posting skills
Mapped Sections (what you’ll cover step-by-step)
Foundations of Payment Posting
Contracts, Allowables & Underpayments
EDI & Remittance Mastery
Posting Workflows & Controls
Denials, Zero-Pays & Variance Management
COB, MSP & Special Scenarios
Payment Methods & Patient Financials
Reconciliation, Month-End & GL
Reporting & Analytics to Maximize Collections
Tools, Automation & Quality
Payer Perspective
Provider/Practice Perspective
Advanced Expert Topics
Disclosure: This course contains the use of artificial intelligence for clear voiceovers.
RCM Academy
Welcome to RCM Academy! Our founder and lead instructor has extensive experience in healthcare Revenue Cycle Management (RCM) and medical billing. With a strong background in the healthcare industry, they have trained hundreds of professionals to master the complexities of RCM processes, from patient registration to payment collection. Passionate about helping individuals succeed, the instructor designed RCM Academy to provide practical, up-to-date training on medical billing, coding, and RCM strategies. Whether you're just starting in healthcare administration or looking to expand your knowledge, RCM Academy offers the skills you need to excel in the field of medical billing and RCM.