Name | Description | Duration (Day) | Level | Prerequisites | Outcomes | Recommended Next Courses | Information |
---|---|---|---|---|---|---|---|
HIP Fundamentals | Introduction and concepts to facilitate overall understanding of HIP | 1 | Basic | Basic Computer Literacy *** HIP Fundamentals is a prerequisite to all other courses | Login and logout Understand the home page Navigate to different screens Search in different scenarios Understand workflow by indexing a document Use document viewer Send ad-hoc correspondence Search for specific outgoing correspondence Review outgoing correspondence Hold/release/generate/fail outgoing correspondence | Role dependent | Request |
Introduction to call centre | Logging and tracking of interaction with entities requiring action | 1/2 | Basic | *** this and its advanced course below are recommended for all users | Log a call Search for a call Handle a call Close a call Reopen a call | Resolving call centre queries | Request |
Resolving call centre queries | Advanced resolution of entity interaction | 1/2 | Advanced | Introduction to call centre | Resolve queries by navigating via the buttons to other screens Route calls internally Handle calls from the workflow bin | Role dependent | Request |
Payer creating and amendments | Creating new payers and making changes | 1/2 | Basic | Load new payers Maintain payers and perform bulk operations | Member creating and amendments | Request | |
Member creating and amendments | Create new members and make changes | 1 | Basic | Load individual members and dependents Interpret various fields Maintain individual members and dependents Terminate members and dependents | Request | ||
Finance fundamentals | Understand the basic concepts of finance in HIP | 1/4 | Basic | Use and understand the journals enquiry screen Comprehend financial transactions Export financial transactions for analysis in Excel | Receipting | Request | |
Receipting | Capturing manual payments and allocating to to members | 3/4 | Basic | Finance fundamentals | Create manual payments Reverse manual payments Perform manual allocations Perform payer automatic allocations Understand other allocations | Finance Amendments | Request |
Finance Amendments | Create financial amendment transactions | 1/2 | Advanced | Finance fundamentals,Receipting | Refund different entity types Create manual journals Perform financial transfers between different entity types | Request | |
Bank Statements | Loading bank statements | 1/2 | Advanced | Finance fundamentals,Receipting | Understand and load bank statements Reverse and reallocate statement transactions to different entities Split or combine statement payments | Request | |
Claims 1 | Capture and assess claims | 1/4 | Basic | Capture claims manually Assess claims Re-assess claims Enquire on claims | Claims 2 | Request | |
Claims 2 | Assess claims by provider type | 1/4 | Basic | Claims 1 | Assess pharmacy claims Assess pathology claims Assess hospital claims Assess optometry claims Assess dentistry claims | Claims 3 | Request |
Claims 3 | Electronic claims | 1/4 | Basic | Claims 1 | Understand the process flow for electronic claims Electronic claim processing queries | Request | |
Provider registration and amendments | Provider registration and amendments | 1/4 | Basic | Register provider Maintain provider Maintain provider networks | Request | ||
Authorisation creating and amendments | Loading new and maintaining claim authorisations | 1/2 | Basic | Claims 1 | Loading new and maintaining claim authorisations | Authorisation protocols and templates | Request |
Authorisation protocols and templates | Utilise protocols and templates in authorisations | 1/2 | Advanced | Authorisation creating and amendments | Capture authorisation using protocols Apply templates to authorisation | Request | |
Run and schedule reports | Run and schedule packaged reports | 1/2 | Basic | Basic Computer Literacy | Understand the reporting environment Run reports Schedule reports | Area specific reports | Request |
Area specific reports | Review role specific reports - different course per role | 1/2 | Basic | Run and schedule reports | Understand reports required for role | Request | |
Campaigns | Create campaigns for different entites and criteria | 1/4 | Basic | Setup a basic campaign Setup a campaign using a CSV file Check and release campaign | Request |