Billing Specialist Interview Questions And Answers

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Enhance your Billing Specialist interview preparation with our set of 68 carefully chosen questions. These questions will test your expertise and readiness for any Billing Specialist interview scenario. Ideal for candidates of all levels, this collection is a must-have for your study plan. Access the free PDF to get all 68 questions and give yourself the best chance of acing your Billing Specialist interview. This resource is perfect for thorough preparation and confidence building.

68 Billing Specialist Questions and Answers:

Billing Specialist Job Interview Questions Table of Contents:

Billing Specialist Job Interview Questions and Answers
Billing Specialist Job Interview Questions and Answers

1 :: Explain have you billed or coded for any specialties?

Yes, I have. Providing coding and billing services to a mental health facility, I had to monitor number of visits and pre-authorizations.
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2 :: Tell me how do you keep current with insurance and healthcare coverage changes?

We are trained on a regular basis at work. Additionally, certification upgrades help and so does maintaining liaison with insurance companies and other healthcare agencies help as well.
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3 :: Tell us what’s your understanding of medical terminology?

I am comfortable with medical terminology as a whole and have extensive knowledge of terminology associated with both dermatological and ophthalmological procedures.
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4 :: Explain what’s your understanding of medical terminology?

Having a basic understanding of medical billing terms is important not only for medical coding but also for medical billing specialists. Make sure you have a familiarity with the more basic medical terms related to billing and coding as it relates to the billing process.
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5 :: Tell me what makes you the best candidate for this position?

I believe my skills and abilities match what you are looking for and I can make an impact and bring benefit to the company.
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6 :: Explain me what assignment was too difficult for you? How did you resolve the issue?

There was a time where I was having difficulty collecting on an account and I could not get in touch with the provider and I had to contact other providers and insurance companies to get in touch with them.
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7 :: Tell us how would your previous supervisor describe you?

Reliable, quick learner, honest, good accounting knowledge, good communication and hard worker.
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8 :: Tell me what is the Process for Appealing 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.
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9 :: Tell us what Specialties have you Billed or Coded for?

Tell what specialities have you worked for or have knowledge about e.g Oncology, Cardiology, Ophthalmology, Dermatology, Internal Medicine or Family Practice.
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10 :: Tell me what certifications do you hold?

I am CPC, CHRS and CBCS certified.
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11 :: Tell me does your current employer use EMR or EHR?

Yes. They use both.
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12 :: Tell me do you think insurance companies sometimes play games to see if they can avoid paying claims?

I think they do. Not all of them and it is up to us to see who may be playing games following reputation and insight.
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13 :: Tell me do you know how to run reports? Can you customize reports?

Since I have worked extensively with most common billing software, I am comfortable with both manual and automated reports generation processes.
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14 :: Tell me what Would You Change About Existing Record Systems?

A medical reimbursement specialist facilitates the claims payment process, spanning from the time a service is rendered right up until the balance is paid. They need to know about coding, medical terminology, insurance claims and billing, appeals and denials, privacy laws and compliance regulations. Record systems in physicians' offices, billing services and health care insurance companies can be very complex. Describe a health record index or storage retrieval system you’ve worked with and elaborate on procedures you feel could be improved. This shows a potential employer that you take pride in your work and think about ways to make the process more effective for the business and customers alike.
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15 :: Tell me how would you handle a customer that is 14 days past due?

Started sending payment reminders after 5 days of sending invoice and make phone calls to customers before 4 days end period.
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16 :: 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.
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17 :: Tell us have you billed for Medicare and Medicaid?

This would be one of the top interview questions for providers who have a lot of Medicare or Medicaid patients. Government payers can be difficult and challenging to bill for. CMS has more paperwork, usually takes longer to pay, and can be frustrating to deal with. Providers who have a lot of Medicare patients will want to know your knowledge and experience of Medicare and the ability to get problems resolved quickly.
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18 :: Tell me do you know how to run customize reports?

Since I have worked extensively with most common billing software, I am comfortable with both manual and automated reports generation processes.
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19 :: Explain me how long does it take you to process one day’s worth of patient visits or claims?

It takes about two working days at the very maximum.
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20 :: Tell me a time when you took personal accountability for a conflict and initiated contact with the individual(s) involved to explain your actions?

I haven't encountered such situation.
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21 :: Tell me have you ever been in a situation where you had to bargain with someone? How did you feel about this? What did you do? Give an example?

Well at an event when attendees thought they had already paid, I will give it to them for the pre reg price and if they can email me a receipt I will pay them back.
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22 :: 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.
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23 :: Explain are you comfortable working with computers? What types of software do you have experience with?

The ability to create and share documents, reports, manage and upload files, and perform back-ups are skills that are helpful for medical billing and coding jobs. You would also want to mention any word processing (Microsoft Word) or spreadsheet (Excel) programs you have experience with.
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24 :: Explain me do you know how to submit claims to a clearinghouse? Have you ever set up a provider with a clearinghouse or resolved claim submittal issues with them?

Yes, I am familiar with claims submission procedures to clearing houses and I have resolved several claim submittal problems.
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25 :: Explain about your most hostile patient-collection case. What was the problem you encountered? Were you able to negotiate payment?

We had this patient whom we knew to be extremely difficult. She had a cosmetic procedure done and billed it to the agency who denied it. It was quite a horror trying to extract payment from her as she used abusive language and threatened to take us to court. We managed to negotiate payment from her by reasoning with her gently initially and then very sweetly telling her that we will take legal action. She paid three days later.
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