Top 10 Medical Billing Interview Questions

Medical Billing Interview Questions :

 

Few General Interview Questions :

 

1) Tell me about yourself

2) Why do you want this job

3) Why Should we hire you

4) What is your strength

5) What is your weakness

6) Why do you want to leave your current Organization / Job

7) What are your Salary Expectations

8) How do you handle pressure

9) Describe a Difficult Work Situation or Project and How You Handled It.

10) What are your goals for future

 

Medical Billing Interview Question:

1) What action do you take when patients authorization fails ?

We check in our system whether we have authorization number available. If yes call ins and provide that auth#. If that Auth # is incorrect than ask ins whether they have any other hospital claim for the same patient for the same DOS. If yes tell ins to process. If not ask ins can we obtain retro auth# and work accordingly. If Auth # is not found in system task it to client for further assistance.

2) Claim denied for additional Information ?

Check the EOD/ERA for additional information, If additional information available act upon. If no additional information available on EOB / ERA. Need to call insurance for additional information.

3) Need additional information ? Claim Denied for W9?

Need to  submit a claim with W9 to insurance company

4) Need additional information ? Medical Record ?

If any specific MR is required we need to submit the same to insurance company. Ex. Complete Medical History

5) What is CLIA # ?

Clinical Laboratory Improvement Amendments act. CLIA regulate laboratory testing and require clinical laboratories to be certified by the Center for Medicare and Medicaid Services (CMS) before they can accept human samples for diagnostic testing.

6) NDC #?

National Drug Code, Its unique 10 or 11 digit number.
The 3 segments of the NDC identify: the labeler, the product, and the commercial package size.

1) Segment - Labeller

2) Segment - Product

3) Segment - Package Code

7) Global Period ?

A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. ... These components of the surgical package are not eligible for separate reimbursement and will be denied if billed within the global period of the associated procedure.

8) Eligibility related denial ?

Need to check available insurance card copy, other claims, MCD eligibility. If all the above sources are providing any solution. we can bill patient

9) ROI ?

Release of information (ROI) in healthcare is critical to the quality of the continuity of care provided to the patient. It also plays an important role in billing, reporting, research, and other functions.

10) ABN ?

The Advanced Beneficiary Notice of Noncoverage (ABN) is one of the most critical Medicare forms that you can utilize. According to Medicare, it must be issued (or delivered to the patient for their signature) when Medicare does not consider an item or service to be reasonable and necessary according to their standards. Some common situations where an ABN is needed are when the service/supply is:

• Considered experimental, investigational, or research only
• Not indicated for diagnosis or treatment in a particular case
• Exceeds the frequency of services they allow for a specified period for the corresponding diagnosis

The ABN is proof that you have told the patient these services/supplies will not be covered by Medicare. Then, as an informed consumer they can decide whether or not to receive the service/supply as an out-of-pocket expense, or through other insurance if they have it.