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A Medicare Advantage plan is a private insurance plan that provides Medicare benefits, often with additional coverage options.
Private Insurance: Medicare Advantage plans are offered by private companies approved by Medicare, providing an alternative to Original Medicare.
Additional Benefits: Many plans include extra benefits like dental, vision, and hearing coverage, which are not typically covered by Original Medi...
Medicare consists of four main parts: A, B, C, and D, each providing different healthcare coverage options.
Medicare Part A: Covers hospital insurance, including inpatient hospital stays, skilled nursing facility care, hospice, and some home health care.
Medicare Part B: Provides medical insurance, covering outpatient care, doctor visits, preventive services, and some home health care.
Medicare Part C: Also known as ...
If authorization is denied, I will investigate the reasons, communicate with relevant parties, and seek alternatives for approval.
Review Denial Reasons: I will carefully analyze the denial notice to understand the specific reasons behind the authorization denial.
Communicate with Providers: I will reach out to the healthcare provider or facility to gather additional information or clarification regarding the reques...
Initiating authorization involves gathering necessary information and submitting requests to ensure compliance and approval.
Gather Patient Information: Collect essential details such as patient ID, insurance information, and the specific services needed for authorization.
Verify Insurance Coverage: Check the patient's insurance policy to understand the requirements and limitations for authorization.
Complete Authori...
Authorization is the process of determining access rights and permissions for users to resources or actions within a system.
Access Control: Authorization defines what resources a user can access, such as files, databases, or applications.
Role-Based Access: Users are assigned roles that determine their permissions, e.g., an admin can modify settings while a user can only view data.
Policy Enforcement: Organizations ...
Medicare is a federal health insurance program in the U.S. for individuals aged 65 and older, and some younger people with disabilities.
Eligibility: Primarily for individuals aged 65+, but also available for certain younger individuals with disabilities or specific conditions like End-Stage Renal Disease.
Parts of Medicare: It consists of different parts: Part A (Hospital Insurance), Part B (Medical Insurance), Par...
CPT codes are numeric codes used to describe medical, surgical, and diagnostic services and procedures in healthcare.
CPT Code Structure: CPT codes are five-digit numeric codes, such as 99213 for an office visit or 20610 for joint injection.
Categories: CPT codes are divided into three categories: Category I (procedures), Category II (performance measures), and Category III (emerging technologies).
Modifiers: CPT cod...
Authorization is essential to ensure secure access to resources, protecting sensitive information and maintaining compliance.
Security: Authorization prevents unauthorized access to sensitive data, such as patient records in healthcare or financial information in banking.
Compliance: Many industries have regulations (like HIPAA for healthcare) that require strict authorization processes to protect personal informati...
Authorization ensures that users have the right access, enhancing security but can complicate user experience.
Enhanced Security: Authorization restricts access to sensitive information, ensuring that only authorized personnel can view or modify data.
Compliance: Many industries require strict authorization protocols to comply with regulations, such as HIPAA in healthcare.
User Accountability: By tracking who has acc...
Bill amount is the total charged, allowed amount is what insurance accepts, and paid amount is what is actually reimbursed.
Bill Amount: This is the total amount charged by a healthcare provider for services rendered. For example, a hospital may bill $1,000 for a procedure.
Allowed Amount: This is the maximum amount that an insurance company will pay for a specific service. For instance, if the allowed amount for th...
Types of denials in client partnerships include authorization, eligibility, medical necessity, and timely filing denials.
Authorization denials occur when services are provided without proper approval from insurance.
Eligibility denials happen when the patient's insurance coverage is not active or does not cover the service.
Medical necessity denials occur when the service provided is not deemed medically necessary by the...
Authentication (Auth) is the process of verifying the identity of a user or system. There are various types of authentication methods.
Authentication is crucial for ensuring security in systems and applications.
Types of authentication include password-based, biometric, two-factor authentication, and OAuth.
Examples: Password-based authentication requires users to enter a password to access their accounts. Biometric authe...
Non-covered refers to services not included in an insurance policy. Types include cosmetic procedures, experimental treatments, and certain elective surgeries.
Non-covered services are typically outlined in the insurance policy's exclusions section.
Examples of non-covered services may include cosmetic procedures like teeth whitening, experimental treatments not approved by the FDA, and elective surgeries like plastic su...
Appeal and recon are distinct processes in client relations, each serving unique purposes in addressing client needs.
Appeal: A formal request to reconsider a decision, often used in cases of denied claims or services.
Example: A client may appeal a denied insurance claim by providing additional documentation.
Recon: Short for reconciliation, it involves reviewing and resolving discrepancies in accounts or transactions.
Ex...
I appeared for an interview in Jun 2025, where I was asked the following questions.
I appeared for an interview in Feb 2025.
I appeared for an interview in Dec 2024.
Based on questions related to previous job experiences.
I envision growing within the company, taking on more responsibilities, and contributing to its success.
Continuing to learn and develop new skills in documentation and organization
Taking on leadership roles within the team
Contributing innovative ideas to improve processes and efficiency
Building strong relationships with colleagues and stakeholders
I applied via Walk-in and was interviewed in Oct 2024. There were 2 interview rounds.
I appeared for an interview in May 2025, where I was asked the following questions.
I applied via Job Portal and was interviewed in Sep 2024. There were 2 interview rounds.
I am a dedicated Client Servicing Executive with a passion for building strong client relationships and delivering exceptional service.
Client Relationship Management: I have successfully managed relationships with over 50 clients, ensuring their needs are met and expectations exceeded.
Problem-Solving Skills: In my previous role, I resolved a critical client issue within 24 hours, which resulted in a 20% increase in cli...
As a Client Servicing Executive, I managed client relationships, ensured satisfaction, and facilitated communication between clients and teams.
Managed a portfolio of over 50 clients, ensuring their needs were met promptly and effectively.
Conducted regular check-ins with clients to gather feedback and address any concerns, resulting in a 20% increase in client satisfaction scores.
Collaborated with internal teams to deve...
My last company was a dynamic marketing agency focused on delivering innovative solutions to enhance client engagement and brand visibility.
Worked with a diverse portfolio of clients, including tech startups and established brands.
Implemented client feedback systems that improved satisfaction scores by 20%.
Collaborated with cross-functional teams to launch successful campaigns, such as a viral social media initiative f...
I appeared for an interview in May 2025, where I was asked the following questions.
I applied via Referral
I am impressed by your company's reputation for innovation and client satisfaction.
I admire your company's commitment to excellence in client service.
I am excited about the opportunity to work with a team of talented professionals.
I believe that my skills and experience align well with the values of your organization.
Test assignment typing test
I appeared for an interview in Apr 2025, where I was asked the following questions.
I am open to working on Saturdays when necessary, as I prioritize team goals and project deadlines.
Flexibility: I understand that certain projects may require extra hours, including weekends, to meet deadlines.
Team Commitment: For instance, during a critical project phase, I willingly worked on a Saturday to ensure we met our launch date.
Work-Life Balance: I believe in maintaining a balance, but I am prepared to adjust...
Flexibility in work hours allows employees to balance personal and professional commitments, enhancing productivity and job satisfaction.
Work-Life Balance: Flexible hours enable employees to manage personal responsibilities, such as childcare or appointments, without sacrificing work.
Increased Productivity: Employees often perform better when they can choose their working hours, leading to higher job satisfaction and o...
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The duration of Access Healthcare interview process can vary, but typically it takes about less than 2 weeks to complete.
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Senior Client Partner
6k
salaries
| ₹1 L/yr - ₹8.6 L/yr |
Client Partner
2.8k
salaries
| ₹1 L/yr - ₹6 L/yr |
AR Caller
1.4k
salaries
| ₹2 L/yr - ₹6.5 L/yr |
Client Specialist
1.1k
salaries
| ₹1 L/yr - ₹9.6 L/yr |
Assistant Client Partner
875
salaries
| ₹1.8 L/yr - ₹5 L/yr |
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