Claim Clerk Interview Preparation Guide

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Customers aren't difficult, it situation that is difficult, I try to get into their shoes and see their perspective, It resolves the situation as the solution is always a combination both the point of views.

The answer to this question should be factual – detail the Windows based applications and other business management applications you have used and your level of competence for each.

Deadlines and always important, I plan my schedules well in advance and stick to timelines, but if by any chance I see there is pressure building, I reschedule work according to priority.

For me work is not something that is merely bread earning, Its also a passion, I zeal to bargain is one of the reason for me to opt this job, I see myself in a senior position, in five years motivating and mentoring people like me now.

Every task need a time frame, understanding the specification, inventory, supplies always gives a fair picture of hoe to plan. I take time to plan and then organise and allot specific job to specific department, follow up continuously and work on priority on jobs with minor delay or unaccounted time loss or situations accordingly.

Certain specialties have unique coding and billing requirements. For example some mental health specialties have limitations on the number of visits and require pre-authorizations. These have to be monitored so there are no surprises for either the patient or the provider. If you don't have experience in this particular providers specialty, emphasize your experience in billing for other unique specialties and your ability to adapt and understand the unique billing requirements for specialties.

Well, I work well with others, I'm prompt, I'm focused, I pay attention to details, I'm grounded, I really appreciate hard work. All these qualities will help me build better reputation with clients and colleagues.

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.

Medical billing and coding specialists don’t usually get involved with “hard” or intense collection efforts - this is usually left to the collection agency. But they usually are involved with “soft” type collections which may be a courtesy phone call or letter reminding the patient their insurance company has paid, they have a past due balance, and offer to make payment arrangements. For the more delinquent accounts it may be a notification that their account will be turned over to collections if arrangements are not made soon.

I am. I understand that at certain times of year, things around an insurance office can get a little crazy. During those times, I make it my responsibility to assist in any way I can. Even little things such as going around the office and getting everyone coffee can be a huge asset. I am willing to take whatever workload I can off my colleagues so that everyone is a little less stressed out.

Because medical billers and coders have access to sensitive patient data, it’s important to have a good understanding of HIPAA privacy requirements. You also may have responsibilities for the security of patient information and computer systems. Make sure you are up to date on HIPAA standards and can give a basic explanation of what they are and what the providers (and their staff) are responsible for.

Many practices need to run reports from their practice management software that show their financial status and performance, outstanding claims, patient balances, etc. The ability to create and customize these reports is a definite advantage. Many times when meeting with a provider, they will express a desire to see certain information in a certain format. Of course sometimes the reporting functions of the software can’t produce exactly what they want. Buy knowing how to extract information out of the practice management software - or database - is very important for a provider.

I do. At my last job, I had an assignment to purge all documents that were dated prior to the year 2000. This required me to go over thousands of papers in order to locate the small date in the corner and remove those papers from the facility. It would have been easy to lose track or get tired, but I managed to remove over 500 documents, which freed up a ton of space in the building.

As is mentioned earlier I am very focused and organised person, and I think this quality is very important for a warranty coordinator.

Just about every practice has some outstanding unpaid claims (A/R or Accounts Receivable) or patient balances. May have a significant amount of money “stranded” and waiting for claim issues to be resolved. If you have experience resolving unpaid claims and reducing A/R this is a huge plus. These type of questions are not uncommon as one of the top interview questions because so many practices struggle with unpaid claims.

In your role, you’ll have clearly defined goals that you and your team must meet. You’ll be required to keep your team on track to meet those goals that could include processing a certain number of claims per month or meeting specific profit margins in your claims payments. Provide examples of strategies that worked for you in the past, such as ongoing training you arranged at your previous firm that led to increased savings. Relay experiences you’ve had with motivational training techniques and how you plan to employ them in your new position or relate what you learned in a recent management workshop you took through an insurance industry association.

I'm very nice, I am working on my authority.

My boss couldn't find material we needed so I went out and found it myself.

Great customer service is leaving the client 100% satisfied.

Prosper, make a lifetime career, and work hard.

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.

If you are a medical billing specialist, you will eventually deal with an angry patient. A lot of times they don’t understand their insurance coverage and they take their frustrations out on you - the bearer of the bad news. So when they receive a statement, that’s usually when they call the billing department and want to know why they owe something - or why it’s so much. That’s when it’s important for the biller to patiently explain their insurance coverage and if they desire more info to call their insurance company. Questions about dealing with patients are typically one of the top interview questions for billers.

Prepare to bring up past successes during the interview. Have stories ready that illustrate your willingness to try new ideas to improve productivity or increase savings for the company. Explain how you automated claims payments for simple cases or started an employee recognition program that rewarded employees for coming up with new ways to save money and time when processing claims. Provide examples of the latest claims computer systems you’ve mastered and how you used them to increase production 33 percent in your previous position. Be specific to match the needs of the company.

Time clocks at my job go out from time to time and punches don't always go through, doing over 200 employees manually was one difficult project.

I have worked with difficult clients in the past and know how to handle myself. Part of my last job involved contacting individuals with delinquent accounts. They were late on payments, so it was my job to call them to inform them we had to cancel their account if they did not pay. This naturally led to many clients getting unreasonably angry at me. I had to maintain my calm, and if needed, turn the phone over to a superior to give more details about why we were cancelling their policy. The same principles applied whenever I had to deal with someone face-to-face.