1. Explain me what impact did you have in your last job?

I leave an impression that I can stand up to the challenges that the work has to offer and in my own assessment, I know I didn't fail them in any way. I have improved and developed my organization and communication skills during my last job and I continue to strive excellence in everything I do.

2. Tell us how do you Manage Rejected or Unpaid Claims?

It is quite a problem when a claim gets rejected or is not paid. I make sure that no delays occur when submitting claims as I appreciate the fact that the longer a claim is unpaid, the less likely it is to be paid and can get rejected too. However, should this situation occur, I make sure that I correct and re-submit the claim as soon as possible. Further, I'll can establishing measure to Reduce Claim Denials.

3. Explain how do you Deal Rejected or Unpaid Claims?

I find out why a claim has either been rejected or left unpaid. If the insurance company has made a mistake in rejecting it, I re-file it after providing further information on why it should have been paid. If the insurance company is right in denying it, I follow up with the client in order to solicit payment.

4. Explain me how do you deal with rejected or unpaid claims?

The longer claims go unpaid, the less likely it is they will be paid. Getting denied or rejected claims corrected and re-submitted can be a lot of revenue to a provider. A prospective biller or coders effectiveness and experience here is very important to a practice's accounts receivables and likely one of the top interview questions.

5. Tell us what Is Your Strategy For Ensuring Accuracy?

A reimbursement specialist typically uses software to conduct transactions using medical billing codes. Answer this question with details about how you find the right codes quickly, stay organized and focused, and double-check your work with industry-standard tools, such as the American Billing Association's Medical Coding & Billing and Resource Center. Express how your goal is to reduce or prevent errors from happening entirely.

6. Tell me what usually gets your number one priority in a typical day?

☛ 1- check my mail for any correspondence from clients and reply
☛ 2- check AR aging to avoid any bad debt in our customers
☛ 3- Check bank movements if we have payment advice from any client
☛ 4- Make allocate payments and analysis any queries.

7. Tell me what type of certifications do you have?

I would expect this question to be asked more for medical coding jobs. Certification in medical billing is a definite plus, but I haven't seen that requirement for strictly medical billing jobs. Certification does show you are committed to your profession and meet certain minimum standards. If you are not certified, a good response would be that you are working towards certification - assuming you are. But don't dwell on what credentials you don't have - emphasize the experience and skills you do have.

8. Tell me have you used Computer Software?

I have been using computer and softwares comfortably. Apart from being able to work with most common software, tell if you are familiar with any Medical Billing Software or EMR Software System e.g IntelleChart and ECLIPSE.

9. Tell me do you keep updated with Insurance and Healthcare coverage changes?

Yes, I keep myself constantly updated with Medical Billing and Coding industry updates in regular basis. Additionally, certification upgrades help and so does maintaining liaison with insurance companies and other healthcare agencies help as well.

10. Tell me why Are Good Communication Skills Essential in This Field?

Interviewers want to know whether, in addition to dealing with clinical records and submitting medical claims, you can also deal with patient calls and work with other medical billing personnel to resolve disputes. This role typically requires strong verbal and written skills to effectively interact with others, so describe situations that required you to communicate effectively under pressure with co-workers and medical office personnel.

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11. Tell me how do you deal with rejected or unpaid claims?

I find out why a claim has either been rejected or left unpaid. If the insurance company has made a mistake in rejecting it, I re-file it after providing further information on why it should have been paid. If the insurance company is right in denying it, I follow up with the client in order to solicit payment.

12. Explain me do You Like to Take on New Responsibilities?

The medical billing industry changes rapidly. Employers want employees who demonstrate resiliency and adaptability. Describe past experiences in utilizing patient financial information systems; adjudicating claims; processing and tracking submissions, remittances and rejections; and how you are willing to take the extra steps necessary to ensure proper cashiering, credit and collections to ensure that all patient accounts get paid in a timely fashion.

13. Tell me do you have experience of setting up Provider with Clearinghouse?

Yes, I am familiar with claims submission procedures to clearing houses and I have resolved several claim submission problems.

14. Tell us what Certifications do you hold?

There are several Medical Coding Certifications e.g CCS, CPC, CHRS and CBCS. Just name it, if you hold any. If not you can tell that its in your future plans to become a Certified Billing Specialist from the AAPC.

15. Tell me what's your strategy and process for appealing a denied claim?

The first thing I do is find out just why a claim has been denied. If I feel that the denial is unfair, I consult with the doctor in question and re-file the claim providing information and proof of why it should not have been denied.

16. Tell me how do you handle insufficient funds received from a customer?

We will make sure that we call the customer and let them know. Sometimes it might be a mistake. Send the letter including the payment request and fine for bad check.

17. Tell us what is your Understanding of Medical Terminology?

I am comfortable with medical terminology as a whole and have extensive knowledge of terminology associated with CPT and ICD codes.

18. Explain me how do you manage cross-functional teams?

Manage through strong strength leadership, build upper management support, select clear objective, communicate clearly and build positive team dynamic.

19. Tell me does Insurances play games to avoid paying claims?

I think sometimes they do. Not all of them and it is up to us to see who may be playing games following reputation and insight.

20. Tell me how do you manage your time?

I am very good at managing my time because I do not let things get behind, I dont let things stress me out. I can multitask.

21. Explain what specialties have you billed or coded for?

I have worked for both ophthalmologists and dermatologists and have coded and billed for both these specialties.

23. Tell me what experiences do you have in accounts receivable?

I do not have much, but I did work for C&S and one of my job duties were to call and get payments on delinquent accounts.

26. Tell me which Medical Billing Coding System do you know?

I have had considerable experience with CPT 9, HCPCS and ICD-9 Vol 3. I am also studying ICD 10 Codes.

27. Tell me what is your personal method for keeping organized?

Keeping a clean and tidy desk is a start. Putting things away right away.

28. Tell me how do you manage rejected or unpaid claims?

It is quite a problem when a claim gets rejected or is not paid. I make sure that no delays occur when submitting claims as I appreciate the fact that the longer a claim is unpaid, the less likely it is to be paid and can get rejected too. However, should this situation occur, I make sure that I correct and re-submit the claim as soon as possible.

29. Tell me why do you feel excellent accounts receivable execution is important for our business?

Do provide quality care for both the patient and the care providers, so everyone gets what they need to do done.

30. Explain me about a time when you had to use your verbal communication skills in order to get a point across that was important to you?

When I was convincing the customers to making them to pay the outstanding amounts, I should use polite verbal communication skills and convince him to make the payments.

31. Explain me how do you keep your manager informed about what is being done in your work area?

I would only have to contact my manager if something wasnt getting done in my work area.

33. General Medical Billing Specialist interview questions:

☛ What motivates you to work as Medical Billing Specialist?
☛ Have you found any ways to make Medical Billing Specialist job easier?
☛ Why did you leave your last job.
☛ Do you work well under pressure?
☛ What's the best movie you've seen in the last year?
☛ Have you ever acted as a mentor to a co-worker?
☛ Describe a group project of which you are particularly proud, what was your contribution?

Think of an example where you have had to do something on your own initiative in your current job.
This is your chance to show your depth and dimension as a person. Furthermore, try to use verbs, not adjectives in your interview answer.

34. Face to Face Medical Billing Specialist interview questions:

☛ Are you good at working in a team?
☛ How do you keep track of things you need to do?
☛ Tell me about your work experience? How has it prepared you for Medical Billing Specialist job?
☛ Tell me about an important goal that you set in the past.
☛ Example of a time you have placed yourself in a leadership position.
☛ What do you think you can bring to this Medical Billing Specialist position?
☛ How would you weigh a plane without scales?

35. Operational and Situational Billing Specialist Job Interview Questions:

☛ Describe your typical day at your current/previous job. How do you prioritize your work?
☛ How would you rate your proficiency with Microsoft Office programs, especially Excel?
☛ Describe your familiarity with billing and invoice software.
☛ How many invoices do you handle on a daily basis?
☛ Describe a time you had an invoice discrepancy with a client. How did you resolve it?
☛ Explain the financial transactions involved in the billing process and your experience with each (i.e. classifying, computing, posting, verifying, recording)
☛ How do you keep track of incoming payments and ensure that it is in compliance with financial procedures? How do you ensure that they're properly posted and accounted for?
☛ How do you ensure the timely collection of invoices?
☛ Describe your most hostile payment collection call. How did you handle it?
☛ Describe a time you went the extra mile to deliver excellent customer service.
☛ Describe a time you worked with a team to complete a project on a tight deadline.
☛ As a billing specialist, have you ever faced an ethical dilemma at work? How did you respond?
☛ What skills do you deem necessary for a billing specialist with our firm. Do you think you possess these skills?
☛ This job can be repetitive. What motivates you to do well?