Tricky Billing Specialist Interview Preparation Guide

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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.

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.

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.

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.

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.

☛ 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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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

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.

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.

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

I have had extensive experience using Epic.

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.

I have had considerable experience with CPT, HCPCS and ICD-9 Vol 3.

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

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