Here is a selective list of most frequently asked Medical Billing Coding Interview Question with Answers.

Medical billing and coding continues to form an integral part in the healthcare system in terms of reimbursements by insurance companies for services rendered by physicians.

This Medical Billing Interview Q&A list contains the top interview questions typically asked for medical billing and coding jobs to help you in preparing for your job interview.

We have purposefully kept the level of question to moderate, so that both experienced and fresh Medical Billing Jobs seeker can benefit out of them. Basic understanding of Medical billing terms is important not only for an entry level Medical Coder but also for Medical Billing Specialist.

If you are an employer or interviewee, looking to hire people in Medical Billing or Medical Coding, these Healthcare billing questions will always come handy for making up your interview process or written evaluation:

Medical Billing Coding Interview Question and Answers

  1. What Certifications do you hold?
    Answer: 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?
    Answer: 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?
    Answer: 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?
    Answer: 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.

  6. How long does it take you to process one day’s worth of patient visits or claims?
    Answer: It takes about two working days at the very maximum.

  7. How do you Deal Rejected or Unpaid Claims?
    Answer: 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?
    Answer: 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?
    Answer: 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?
    Answer: 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?
    Answer: 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.

  12. Do you have experince of setting up Provider with Clearinghouse?
    Answer: Yes, I am familiar with claims submission procedures to clearing houses and I have resolved several claim submission problems.

  13. Do you know how to run customize reports?
    Answer: Since I have worked extensively with most common billing software, I am comfortable with both manual and automated reports generation processes.

  14. What Specialties have you Billed or Coded for?
    Answer: 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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