10+ Guidehouse Interview Questions and Answers

Authorization is obtaining permission from an insurance company to provide a specific service, while referral is a recommendation from a primary care physician to see a specialist.

• Authorization is required for certain medical services or procedures to ensure coverage by insurance.

• Referral is a process where a primary care physician recommends a patient to see a specialist for further evaluation or treatment.

• Authorization is obtained by the healthcare provider from the insuran...read more

PCP stands for Primary Care Physician and is the main healthcare provider for a patient. A rendering provider is a healthcare professional who provides services to a patient under the supervision of a PCP.

• PCP is the first point of contact for a patient in the healthcare system

• PCP coordinates and manages the patient's overall healthcare

• Rendering provider is a healthcare professional who delivers specific services to a patient

• Rendering provider works under the supervision or re...read more

CPT stands for Current Procedural Terminology and ICD stands for International Classification of Diseases.

• CPT is a set of codes used to describe medical, surgical, and diagnostic services provided by healthcare professionals.

• ICD is a coding system used to classify and code diagnoses, symptoms, and procedures for medical billing and reporting.

• CPT codes are used to identify specific procedures or services performed, while ICD codes are used to identify specific diagnoses or con...read more

The W9 form is used to collect taxpayer identification information for individuals or entities who are paid by a business.

• The W9 form is used by businesses to gather information about individuals or entities they pay, such as independent contractors or freelancers.

• It collects the taxpayer identification number (TIN) of the payee, which can be their Social Security Number (SSN) or Employer Identification Number (EIN).

• The information provided on the W9 form is used by the busin...read more

Yes, I am flexible for night shift.

• I have prior experience working night shifts.

• I am willing to adjust my schedule to accommodate the night shift.

• I understand the importance of being available during non-traditional hours.

EOB stands for Explanation of Benefits and denial refers to the rejection of a claim by an insurance company.

• EOB provides a detailed explanation of the services rendered, the amount billed, the amount covered by insurance, and the patient's responsibility.

• Denial occurs when an insurance company refuses to pay for a claim due to various reasons such as incorrect coding, lack of medical necessity, or missing information.

• EOB and denial are important in accounts receivable as the...read more

Joins are used to combine rows from two or more tables based on a related column between them.

• Joins are used to retrieve data from multiple tables based on a related column

• Subquery is a query nested within another query

• Union combines the result sets of two or more SELECT statements, while Union All includes duplicates

A clearing house is a financial institution that facilitates the settlement of financial transactions.

• A clearing house acts as an intermediary between buyers and sellers to ensure the smooth transfer of funds and securities.

• It helps to reduce counterparty risk by guaranteeing the completion of transactions.

• Clearing houses often provide services such as netting, margining, and risk management.

• Examples of clearing houses include the Depository Trust & Clearing Corporation (DTCC...read more

A process associate is responsible for handling specific tasks within a business process or workflow.

• Responsible for executing tasks according to established procedures

• May involve data entry, document processing, customer service, etc.

• Works closely with team members to ensure smooth workflow

• Requires attention to detail and ability to follow instructions

• Examples: processing insurance claims, handling customer inquiries, data entry for payroll

Rank assigns unique numbers to each row, while dense rank does not leave gaps between ranks.

• Rank assigns unique numbers to each row based on the order specified.

• Dense rank also assigns unique numbers to each row, but does not leave gaps between ranks.

• For example, if we have scores of 90, 85, 85, 80, rank would be 1, 2, 2, 4 and dense rank would be 1, 2, 2, 3.

The framework used in my previous project was a hybrid framework combining data-driven and keyword-driven approaches.

• Combination of data-driven and keyword-driven testing

• Reusable test scripts for common functionalities

• Separate test data from test scripts

• Integration with CI/CD pipeline for automated testing

• Support for multiple browsers and devices