01
Every payer, a different rulebook
The same visit needs a different eligibility check, authorization rule and claim address depending on the card at the front desk. Without a map of who pays, problems show up weeks later as denials.
Camderson Academy · CA-HC-001
Run the business side of healthcare with confidence and care.
A practical, self-paced course for staff, supervisors and new managers in clinics, medical groups and health organizations. Learn how US healthcare is organized and paid for, then improve access, the revenue cycle, compliance and quality with standard measures and simple tools. Non-clinical, with no patient data.
About 5 hours · 18 lessons with video · Beginner · Self-paced · Certificate of completion · 30-day money-back guarantee
Educational only: non-clinical, not legal, compliance or medical advice.
Healthcare runs on more rules, handoffs and measures than anyone explains on day one.
02
Problems surface far from their cause
A wrong plan on file at check-in becomes a denial. An unconfirmed referral becomes a patient who never got seen. Teams fix the symptom because nobody sees the whole journey.
03
Measures nobody defines the same way
Denial rate, days in A/R and no-shows mean different things in different reports. Without shared definitions, owners and privacy-safe reporting, a dashboard starts arguments instead of action.
Learning outcomes
What you will be able to do
Eight practical outcomes, each practiced in an exercise and checked in the final assessment or the capstone.
- Describe how US healthcare is organized and financed, including the main payers and what each covers.
- Explain fee-for-service, capitation and value-based payment and the operational levers each rewards.
- Map the patient journey and improve access and patient experience with capacity, no-show, wait-time and survey measures.
- Explain the revenue cycle from scheduling to payment, prevent front-end denials and calculate standard revenue cycle measures.
- Apply HIPAA privacy and security basics and compliance awareness in non-clinical work, and escalate correctly.
- Connect operations to healthcare quality and run a small PDSA test.
- Build an operations dashboard with clear definitions and report data in a privacy-safe way.
- Lead mixed clinical and non-clinical teams, use technology and AI responsibly, and assemble an operations improvement plan.
The Camderson method
Teaching tools for running healthcare operations well
The System Map and the Patient Journey Map
Patients · Providers · Payers · Purchasers · Find to Pay
Place your organization among patients, providers, payers and purchasers, then follow one visit through six stages with an owner and a measure for each.
The Access Equation and the Front-End First Check
Capacity x Fill rate x Show rate · Eligibility · Authorization · Registration · Estimate
See where completed visits are lost, and confirm the four things before a visit that prevent most avoidable denials.
The Need-Least-Route Check and the Speak-Up Path
Need · Least · Route · Stop · Write down the facts · Report
Share the least patient information that does the job through an approved channel, and raise a concern through the right route.
The Dashboard Card and PDSA
Measure · Definition · Source · Owner · Target · Direction · Frequency · Plan · Do · Study · Act
Put only well-defined measures on the dashboard, then test improvements small with a baseline and a balancing measure.
Systems. Service. Outcomes.
Curriculum
Inside the course
Six modules, 18 lessons with worked examples and video
01
How US Healthcare Works
Patients, providers, payers and purchasers on one System Map, what Medicare, Medicare Advantage, Medicaid, commercial plans and self-pay each change at the front desk, and how providers get paid.
02
The Patient Journey and Access
Mapping the journey from first call to final bill, capacity, no-shows and the third next available appointment, and reading patient experience results honestly.
03
The Revenue Cycle
The steps from scheduling to payment and who owns each, the front-end checks that prevent most denials, and five standard revenue cycle measures read together.
04
Compliance, Privacy and Quality
HIPAA privacy and security at an awareness level, compliance programs and the Speak-Up Path, and how operations supports safe, timely and equitable care.
05
Measuring and Improving Operations
An operations dashboard with clear definitions and owners, privacy-safe reporting and small numbers, and small improvement tests with PDSA.
06
Leading Healthcare Operations
Decision rights between clinical and operational leaders, a 10-minute operations huddle, responsible use of technology and AI, and your Operations Improvement Plan.
What is included
Everything you need to run the business side of healthcare well
- 18 lessons, each with a written lesson, worked examples and diagrams, and a narrated lesson video, at your own pace
- A running example from Kelderwood Health Partners, a fictional four-site medical group, so you can see every measure built from one consistent set of numbers with no patient data
- A fillable Workbook with Try it and Reflect pages for every lesson
- A Kelderwood operations practice spreadsheet with a solutions file, and an Operations Workbook Template for your own organization
- A System Map and Payer Guide, a Patient Journey Map, a Front-End First Checklist, a Privacy and Speak-Up Card and a PDSA Test Planner
- An optional visual companion PDF, the lesson figures, and lesson summaries with every source and the date it was checked
- Knowledge checks for every module and a 20-question final assessment
- An Operations Improvement Plan capstone for your own organization or a fictional practice, reviewed by a person
- A Camderson Academy Certificate of Completion when you pass the final assessment and the capstone
- Access to the Camderson Academy community
Is this course right for you?
This course is for you if
- You work on the business side of healthcare: front desk, patient access, scheduling, billing, revenue cycle, practice or clinic operations, or health plan support
- You are a new supervisor or manager, or you are moving into healthcare administration from another field
- You want a clear picture of how payers, access, the revenue cycle, compliance and quality connect, with standard measures you can use
It is not the right fit if
- You are looking for clinical training of any kind (this course is non-clinical and routes every care decision to clinical leaders)
- You need medical coding instruction or a coding certification (this course does not teach coding)
- You need legal, compliance, billing or medical advice for a specific situation (the course points you to your organization's compliance, privacy and clinical leaders)
Your instructor
Meet your instructor
Ruben Tejada
MA, MS, PHR
Managing Partner · Leadership & Organizational Effectiveness
Ruben Tejada is a strategic advisor and organizational leader whose career spans healthcare, public service, human resources, operations, and learning and development. He has advised executives and leaders on leadership development, talent development, employee experience, culture and succession planning, and has led initiatives to strengthen leadership accountability and build workforce capability. That work includes years inside a health plan, where the business side of healthcare is daily work. In this course he helps you see how the parts of a healthcare organization connect, so you can run operations with confidence and care.
About
About Camderson Academy
Camderson Academy is the education division of Camderson Advisory Services. Camderson helps leaders build organizations that work without them in the room. Everything we teach has been used in a real organization first.
Training a team?
We offer group enrollment for clinics, medical groups, health plans and health organizations that want front desk, revenue cycle and operations teams to share the same map, measures and checks. Email connect@camderson.com to talk through your group.
Frequently asked questions
Do I need a clinical or finance background?
No. The course is non-clinical, and no finance background is assumed. Every term is explained the first time it appears, and the Kelderwood example walks through each calculation step by step.
Who is this course for?
Staff, supervisors and new managers on the business side of healthcare, including front desk and patient access, billing and revenue cycle, practice and clinic operations, and health plan and care coordination support roles, as well as career changers entering healthcare administration.
How long do I have access?
Your access does not expire. We review the course regularly, and any updates are added for you at no extra cost.
How long does it take?
About 5 hours in total, including the written lessons and their videos, the Try it exercises, the knowledge checks, the final assessment and the capstone. Everything is self-paced.
Do I have to use my own organization's data?
No. If you prefer, complete the capstone for Wickmere Family Medicine, a fictional practice with a brief and a workbook template. If you use your own organization, use only aggregate figures you have permission to use, and never include patient names, record or account numbers, dates of service or other identifiers.
Is this legal, compliance or medical advice?
No. Educational only. This course is non-clinical and is not legal, compliance or medical advice. Follow your organization's policies and consult its compliance, privacy and clinical leaders. It is general education about the administration and operations of healthcare organizations; it does not teach or advise on clinical care, diagnosis, treatment, billing or coding. Rules and payer requirements change and depend on your organization. Program rules in the lessons are dated and described as the official sources state them; confirm the current version before acting.
Is the certificate accredited, or does it carry professional credit?
Neither. You receive a Camderson Academy Certificate of Completion after passing the final assessment and the capstone, an Operations Improvement Plan that a person reviews. It is not an academic credential, a professional certification or a license, and it does not carry continuing education, continuing medical education or other professional credit.
Is there a money-back guarantee?
Yes. You are covered by a 30-day money-back guarantee. If the course is not right for you, email connect@camderson.com within 30 days of purchase and we will refund you in full. No questions asked. Your course access ends when the refund is issued.
What tools do I need?
A spreadsheet program that opens .xlsx files (Microsoft Excel, Google Sheets, Apple Numbers or LibreOffice Calc), a PDF reader that can fill in forms and a word processor for your capstone. All templates and practice files are included as downloads.
Systems. Service. Outcomes.
Self-paced, about 5 hours, with a Workbook, an operations practice spreadsheet, an Operations Workbook Template and desk-ready guides to help you understand who pays and how, protect access, prevent denials, handle patient information carefully, measure what matters and lead improvement with your clinical colleagues.
Backed by our 30-day money-back guarantee.
This course earns a Camderson Academy Certificate of Completion. It is not an academic credential, a professional certification or a license, and it does not carry continuing education, continuing medical education or other professional credit. Educational only. This course is non-clinical and is not legal, compliance or medical advice. Follow your organization's policies and consult its compliance, privacy and clinical leaders. It is general education about the administration and operations of healthcare organizations; it does not teach or advise on clinical care, diagnosis, treatment, billing or coding. Rules and payer requirements change and depend on your organization.