Captivating Medical Billing Interview Questions in 2024

Filed in Interviews by on February 19, 2024

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Medical Billing is the way to submit and line up cases with medical coverage organizations to get an installment for administrations rendered by a medicinal services supplier. Ace your Medical Billing Interviews using the interview questions provided.

Captivating Medical Billing Interview Questions in 2024

The restorative biller in the medicinal services office has to pursue a case to guarantee the training gets repaid for the work the suppliers perform. A proficient biller can streamline income execution for training.

Responsibility of a Medical Biller

A medical biller and coder are to a great extent in charge of ensuring medicinal office income cycles run easily.

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At the point when an administration is played out, a therapeutic coder allocates codes to the administrations rendered.

They took the judgments and method codes from therapeutic record documentation, for example, interpretation of doctor’s notes, research facility, radiologic results, and so forth.

Although a medicinal biller’s obligations differ with the size of the work office, the biller regularly gathers all information concerning the bill.

This can incorporate charge section, claims transmission, installment posting, protection development, and patient development.

Medical billers normally speak with doctors and other medicinal services experts to explain, analyze, or gain extra data.

The restorative biller must see how to peruse the medicinal record and, similar to the therapeutic coder, be comfortable with CPT, HCPCS Level II, and ICD-10-CM codes.

Potential Salary for a Medical Billing Specialist

As shown by the Bureau of Labor Statistics, the individuals who work with therapeutic records and in medicinal well-being data fields can make a middle pay of roughly $38,040 every year, or $18.29 every hour.

While those entering the field begin at the most minimal pay with roughly $25,000 as their yearly salary, the most astounding 10 percent of the specialists earn more than $60,000 every year.

The measure of cash earned depends on understanding just as where the masterworks.

Reasons for Becoming a Medical Billing Specialist

1. You don’t need to go to medical school to work in the medical field.

2. There are plenty of employment options for a medical billing specialist.

3. Healthcare is a rewarding field.

4. It’s a fast-paced industry that rewards people with great pay.

5. It only takes a few months to start a new career.

Medical Billing Interview Questions

According to industry research, the need for these professionals has increased by X% in the last year alone.

HR experts and CXOs play critical roles in recruiting and retaining top people in this specialized industry, assuring seamless financial operations and revenue optimization.

Electronic Medical Records question 

1. Does your current employer use EMR or EHR?

2. What work did you do with EMR?

3. How’s your computer experience been?

5. What type of software have you used: Epic, Medisoft, or other programs?

6. Which version of the program do you use?

7. Have you worked with an EMR claims clearinghouse?

8. Do you have a medical billing certificate? If not, are you planning to get certified or in the process of getting certified?

9. How do you stay up-to-date with insurance and healthcare coverage changes?

Hard-Skills Questions 

10. How long does it take you to process one day’s worth of patient visits or claims?

11. Tell me about the last claim you had denied. What happened and how did you resolve it?

12. What’s your strategy and process for appealing a denied claim?

13. Tell me about your most hostile patient-collection case. What was the problem you encountered? Were you able to negotiate the payment?

14. Do you think insurance companies sometimes play games to see if they can avoid paying claims?

Soft-Skills Questions

15. Tell me about the last claim you had denied. What happened and how did you resolve it?

16. What is your strategy and process for appealing claim denials?

17. Tell me about your most hostile patient collection case. What was the problem you encountered? Were you able to negotiate the payment?

18. Do you think insurance companies sometimes play games to see if they can avoid paying claims?

19. What are some of your strengths?

20. Are you comfortable working with computers? What types of software do you have experience with?

21. What practice management or medical claims software do you have experience with?

22. Do you know how to submit claims to a clearinghouse? Have you ever set up a provider with a clearinghouse or resolved claim submittal problems with them?

23. Do you know how to run reports? Can you customize the reports?

24. What specialties have you billed or coded for?

25. What procedure code are you most familiar with?

Questions on Field Knowledge

26. Can you explain the difference between co-pays, deductibles, and co-insurance?

27. Are you familiar with HIPAA privacy and security rules?

28. Have you dealt much with insurance companies to resolve issues with unpaid or rejected (denied) claims?

29. Have you worked on insurance or patient accounts receivables?

30. Have you ever appealed a denied claim? What’s your process for resolving a denied claim?

31. What’s your experience in patient collections?

32. How do you deal with difficult or angry patients?

33.  How long does it take you to process a day’s charges?

34. If You Just Can’t Answer Top Interview Questions – Turn a Negative Into a Positive

35. Where do you see yourself in 5 years?

Individual Qualities

36. What are some of your weaknesses?

37. What are some of your strengths?

38. Why should we hire you? 

39. What is a premium?

40. What is cobra insurance?

41. What does cob commonly refer to?

42. What is cobra?

43.  In medical billing, what is the function of a clearinghouse?

44. How do you stay up-to-date with insurance and healthcare coverage changes?

45. How long does it take you to process one day’s worth of patient visits or claims?

Restorative charging interprets a social insurance administration into a charging guarantee. 

Are you ready to locate the ideal fit for your Medical Coder position? We have provided the resources you need to make educated hiring decisions. Explore our medical billing interview questions today to find the best talent for your company.

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