1. 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.
2. 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.
3. 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.
4. 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.
5. Do you keep updated with Insurance and Healthcare coverage changes?
Yes, I keep myself constantly updated with Medical Billing and Coding industry updates on a regular basis. Additionally, certification upgrades help and so does maintaining liaison with insurance companies and other healthcare agencies help as well.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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.
11. Have you used Computer Software?
I have been using computers and software comfortably. Apart from being able to work with the most common software, tell if you are familiar with any Medical Billing Software or EMR Software System e.g IntelleChart and ECLIPSE.
12. Do you have experience of setting up Providers with Clearinghouse?
Yes, I am familiar with claims submission procedures to clearinghouses and I have resolved several claim submission problems.
13. Do you know how to run customize reports?
Since I have worked extensively with the most common billing software, I am comfortable with both manual and automated reports generation processes.
14. What Specialties have you Billed or Coded for?
Tell me what specialties have you worked for or have knowledge about e.g Oncology, Cardiology, Ophthalmology, Dermatology, Internal Medicine, or Family Practice.
15. Have you billed for Medicare and Medicaid?
Yes I have
16. 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.
17. Are you comfortable working with computers? What types of software do you have experience with?
I am computer savvy. Apart from being able to work with most common software, I am familiar with IntelleChart and ECLIPSE
18. 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 clearinghouses and I have resolved several claim submittal problems.
19. Do you know how to run reports? Can you customize reports?
Since I have worked extensively with the most common billing software, I am comfortable with both manual and automated reports generation processes.
20. 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.
