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Health Prime Services (India) Senior Specialist Interview Questions and Answers

Updated 25 May 2024

9 Interview questions

A Senior Specialist was asked
Q. What do we do if Medicare denies the claim as a capitation?
Ans. 

If Medicare denies the claim as a captition, we need to take certain steps to address the issue.

  • Review the denial reason provided by Medicare

  • Check if the claim was submitted correctly and all necessary documentation was included

  • Identify any errors or missing information in the claim

  • Contact the Medicare Administrative Contractor (MAC) to discuss the denial and seek clarification

  • Submit an appeal if the denial was in...

A Senior Specialist was asked
Q. What is the difference between a 25 modifier and a 15 modifier?
Ans. 

The difference between 25 modified and 15 and modifier

  • 25 modified refers to a value that has been altered or adjusted in some way

  • 15 and modifier implies the combination of the number 15 with a modifier

  • The specific context and purpose of the modification or modifier are not provided

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A Senior Specialist was asked
Q. Where can we check the global period time frame?
Ans. 

The global period time frame can be checked on the CMS website.

  • The CMS website provides information on the global period time frame for medical procedures.

  • The global period is a period of time during which all related services for a specific procedure are considered part of the initial procedure.

  • The global period time frame varies depending on the procedure and can range from 0 to 90 days.

  • By visiting the CMS websi...

A Senior Specialist was asked
Q. What is captioning?
Ans. 

Caption is a text that provides a description or explanation for an image or video.

  • A caption is typically displayed below or beside the image or video it describes.

  • It helps provide context, clarify content, or add additional information.

  • Captions are commonly used in social media posts, news articles, and presentations.

  • For example, a caption for a photo of a beach could be 'Enjoying a sunny day at the beach.'

A Senior Specialist was asked
Q. What is a crossover reason code?
Ans. 

A crossover reason code is a code used to identify the reason for a customer switching from one product or service to another.

  • Crossover reason codes help businesses understand why customers are leaving and make improvements to retain them.

  • These codes can be used in customer surveys, feedback forms, or data analysis to categorize the reasons for customer churn.

  • Examples of crossover reason codes include price dissat...

A Senior Specialist was asked
Q. What is inclusive denial?
Ans. 

Inclusive denial refers to the act of denying access or opportunities to individuals or groups based on their characteristics or identities.

  • Inclusive denial is a form of discrimination that excludes certain individuals or groups from participating in social, economic, or political activities.

  • It can occur in various contexts such as employment, education, housing, healthcare, and public services.

  • Examples of inclusi...

A Senior Specialist was asked
Q. What are NCC edits?
Ans. 

NCC edits are a set of rules used by insurance companies to determine the appropriateness and accuracy of medical claims.

  • NCC edits stand for National Correct Coding edits.

  • They are developed by the Centers for Medicare and Medicaid Services (CMS) and used by insurance companies to prevent improper payments.

  • NCC edits compare the codes submitted on medical claims to identify any discrepancies or errors.

  • These edits he...

Are these interview questions helpful?
A Senior Specialist was asked
Q. What is a 22 modifier?
Ans. 

The 22 modifier is a billing modifier used in medical coding to indicate that a procedure was discontinued due to extenuating circumstances.

  • The 22 modifier is used to report a procedure that required additional time, effort, or complexity beyond the usual

  • It is typically used when a surgeon encounters unexpected difficulties during a procedure

  • The 22 modifier can result in increased reimbursement for the procedure

  • Fo...

A Senior Specialist was asked
Q. What is the 59 modifier?
Ans. 

The 59 modifier is a coding modifier used in medical billing to indicate a distinct procedural service.

  • The 59 modifier is used to identify procedures or services that are separate and distinct from other services performed on the same day.

  • It is used to bypass the National Correct Coding Initiative (NCCI) edits and allow separate payment for the additional procedure or service.

  • The 59 modifier should only be used wh...

Health Prime Services (India) Senior Specialist Interview Experiences

2 interviews found

Interview experience
4
Good
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via Referral and was interviewed in Jan 2024. There was 1 interview round.

Round 1 - One-on-one 

(9 Questions)

  • Q1. What is inclusive denial
  • Ans. 

    Inclusive denial refers to the act of denying access or opportunities to individuals or groups based on their characteristics or identities.

    • Inclusive denial is a form of discrimination that excludes certain individuals or groups from participating in social, economic, or political activities.

    • It can occur in various contexts such as employment, education, housing, healthcare, and public services.

    • Examples of inclusive de...

  • Answered by AI
  • Q2. What is NCC edits
  • Q3. What's 22 modifier
  • Q4. What is 59 modifier
  • Q5. What is the difference between 25 modified and 15 and modifier
  • Ans. 

    The difference between 25 modified and 15 and modifier

    • 25 modified refers to a value that has been altered or adjusted in some way

    • 15 and modifier implies the combination of the number 15 with a modifier

    • The specific context and purpose of the modification or modifier are not provided

  • Answered by AI
  • Q6. What is captition
  • Ans. 

    Caption is a text that provides a description or explanation for an image or video.

    • A caption is typically displayed below or beside the image or video it describes.

    • It helps provide context, clarify content, or add additional information.

    • Captions are commonly used in social media posts, news articles, and presentations.

    • For example, a caption for a photo of a beach could be 'Enjoying a sunny day at the beach.'

  • Answered by AI
  • Q7. What we do if Medicare denial the claim as a captition
  • Q8. From where we can check the global period time frame
  • Q9. What is a crossover reason code
  • Ans. 

    A crossover reason code is a code used to identify the reason for a customer switching from one product or service to another.

    • Crossover reason codes help businesses understand why customers are leaving and make improvements to retain them.

    • These codes can be used in customer surveys, feedback forms, or data analysis to categorize the reasons for customer churn.

    • Examples of crossover reason codes include price dissatisfac...

  • Answered by AI

Interview Preparation Tips

Interview preparation tips for other job seekers - So if you are going for the senior specialist in the health just go through the modifier and always keep in your mind 90% of time they ask you about inclusive denial so prepare that denial so well. Then they will ask you few question like what is the NCCi edits .
Interview experience
5
Excellent
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via Referral and was interviewed before May 2023. There was 1 interview round.

Round 1 - Technical 

(2 Questions)

  • Q1. RCM related questions
  • Q2. Previous work experience
  • Ans. 

    I have over 10 years of experience in project management, specializing in cross-functional team leadership and process optimization.

    • Led a team of 15 in a successful product launch, resulting in a 30% increase in market share.

    • Implemented Agile methodologies, reducing project delivery time by 25%.

    • Managed a $2 million budget for a key project, ensuring all deliverables were met on time and within budget.

    • Conducted training...

  • Answered by AI

Interview Preparation Tips

Topics to prepare for Health Prime Services (India) Senior Specialist interview:
  • Revenue Cycle Management
Interview preparation tips for other job seekers - Looking for stable job opportunities.

Top trending discussions

View All
Interview Tips & Stories
1w (edited)
a team lead
Why are women still asked such personal questions in interview?
I recently went for an interview… and honestly, m still trying to process what just happened. Instead of being asked about my skills, experience, or how I could add value to the company… the questions took a totally unexpected turn. The interviewer started asking things like When are you getting married? Are you engaged? And m sure, if I had said I was married, the next question would’ve been How long have you been married? What does my personal life have to do with the job m applying for? This is where I felt the gender discrimination hit hard. These types of questions are so casually thrown at women during interviews but are they ever asked to men? No one asks male candidates if they’re planning a wedding or how old their kids are. So why is it okay to ask women? Can we please stop normalising this kind of behaviour in interviews? Our careers shouldn’t be judged by our relationship status. Period.
Got a question about Health Prime Services (India)?
Ask anonymously on communities.

Interview questions from similar companies

Interview experience
1
Bad
Difficulty level
Easy
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via Pradeep and was interviewed in Feb 2024. There was 1 interview round.

Round 1 - Only pradeep and sarath told 

(2 Questions)

  • Q1. Why you are accepting refrence people got a job this organisation....they are no skilled....nikhila is a skilled employee but she's replaced person Surya is very low power skill...bcz of sarath Chandra rou...
  • Q2. Prakash Kumar sahoo is very skilled person but why pradeep reference her old colleague Karthik and jeeva ,,,,then etc people from Wipro company....bcz pradeep thinking is (already I left from this golden e...

Interview Preparation Tips

Topics to prepare for SMC Corporation Senior Engineer interview:
  • Reference from Sarath and pradee
Interview preparation tips for other job seekers - Please if you come to work together with SMC corporation India private limited .. please asking to sarath Chandra rout and pradeep
Interview experience
3
Average
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I appeared for an interview before Feb 2024.

Round 1 - Aptitude Test 

Knowledge and work experience

Interview Preparation Tips

Interview preparation tips for other job seekers - Don't expect a competitive package. It is now a mediocre company.
Interview experience
3
Average
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via Approached by Company and was interviewed before Sep 2023. There was 1 interview round.

Round 1 - Aptitude Test 

IT NETWORKING QUESTIONS AND SCREENING

Interview experience
4
Good
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via google search and was interviewed in Jul 2024. There were 5 interview rounds.

Round 1 - HR 

(2 Questions)

  • Q1. How many years experience you have ?
  • Ans. 

    I have 15 years of experience in IT, with a focus on project management and system integration.

    • 15 years of experience in IT

    • Specialize in project management and system integration

    • Worked on various large-scale projects such as implementing ERP systems

  • Answered by AI
  • Q2. Do you have knowledge of hardware configuration ?
  • Ans. 

    Yes, I have knowledge of hardware configuration including setting up servers, installing components, and troubleshooting hardware issues.

    • Experience in setting up servers and workstations

    • Knowledge of installing hardware components such as RAM, hard drives, and graphics cards

    • Ability to troubleshoot hardware issues like faulty power supplies or overheating

    • Familiarity with BIOS settings and firmware updates

  • Answered by AI
Round 2 - Technical 

(2 Questions)

  • Q1. Do you have experience in hardware configuration ?
  • Ans. 

    Yes, I have extensive experience in hardware configuration.

    • I have configured servers, workstations, and networking devices.

    • I am proficient in setting up RAID configurations and troubleshooting hardware issues.

    • I have experience with hardware upgrades and replacements.

    • I have worked with various operating systems and hardware components.

    • I have implemented security measures for hardware devices.

  • Answered by AI
  • Q2. What is your strength & weakness ??
  • Ans. 

    Strength: Strong problem-solving skills. Weakness: Difficulty delegating tasks.

    • Strength: Ability to analyze complex issues and find effective solutions.

    • Strength: Strong decision-making skills under pressure.

    • Weakness: Tendency to take on too much work instead of delegating tasks.

    • Weakness: Struggle to trust others to complete tasks to the same standard.

  • Answered by AI
Round 3 - One-on-one 

(2 Questions)

  • Q1. Why do you left your last job ?
  • Ans. 

    Seeking new challenges and opportunities for growth in a different organization.

    • Desire for new challenges and opportunities

    • Looking for professional growth and development

    • Seeking a better fit for skills and interests

  • Answered by AI
  • Q2. What is your expectation ?
  • Ans. 

    My expectation is to lead a high-performing IT team, drive innovation, and align technology with business goals.

    • Lead a high-performing IT team to achieve organizational goals

    • Drive innovation and implement new technologies to improve efficiency

    • Align technology initiatives with business objectives to drive growth

    • Ensure cybersecurity measures are in place to protect company data

    • Stay updated on industry trends and best pra...

  • Answered by AI
Round 4 - One-on-one 

(2 Questions)

  • Q1. What was your role in last job ?
  • Ans. 

    I was responsible for overseeing the IT department and ensuring the smooth operation of all technology systems.

    • Managed a team of IT professionals

    • Implemented new technology solutions

    • Ensured network security and data protection

    • Collaborated with other departments to meet technology needs

  • Answered by AI
  • Q2. Are you able to handle inventory jobs ?
  • Ans. 

    Yes, I have experience handling inventory jobs in previous roles.

    • I have managed inventory levels to ensure optimal stock levels

    • I have conducted regular audits to track inventory accuracy

    • I have implemented inventory management systems to streamline processes

  • Answered by AI
Round 5 - Behavioral 

(2 Questions)

  • Q1. What is your Qualification ?
  • Ans. 

    I have a Bachelor's degree in Computer Science and a Master's degree in Information Technology.

    • Bachelor's degree in Computer Science

    • Master's degree in Information Technology

  • Answered by AI
  • Q2. How many years of Experience you have ?
  • Ans. 

    I have 15 years of experience in IT, with a focus on project management and software development.

    • 15 years of experience in IT

    • Specialize in project management and software development

    • Worked on various projects for different industries

  • Answered by AI

Skills evaluated in this interview

Round 1 - Resume Shortlist 
Pro Tip by AmbitionBox:
Keep your resume crisp and to the point. A recruiter looks at your resume for an average of 6 seconds, make sure to leave the best impression.
View all tips
Round 2 - One-on-one 

(1 Question)

  • Q1. All about your knowledge of current and previous experiences and work nature
Round 3 - One-on-one 

(1 Question)

  • Q1. Round with sdm manager related to tech knowledge process knowledge and understanding communication etc
Round 4 - HR 

(2 Questions)

  • Q1. Salary negotiation and expectations
  • Q2. Salary negotiation and expectations. No shift allowances

Interview Preparation Tips

Interview preparation tips for other job seekers - Keep your knowledge upto date and sd experience. No shift allowances applicable
Are these interview questions helpful?
Interview experience
4
Good
Difficulty level
Moderate
Process Duration
Less than 2 weeks
Result
Selected Selected

I applied via Approached by Company and was interviewed in Apr 2024. There was 1 interview round.

Round 1 - Technical 

(6 Questions)

  • Q1. What's your aspirations?
  • Ans. 

    I aspire to lead innovative projects, mentor others, and contribute to advancements in my field while achieving personal growth.

    • Lead cross-functional teams to drive impactful projects, like developing a new product line that increases market share.

    • Mentor junior colleagues to help them grow professionally, sharing insights from my own experiences.

    • Stay updated with industry trends and technologies to ensure my contributi...

  • Answered by AI
  • Q2. How you are managing team?
  • Ans. 

    I manage a team by fostering collaboration, setting clear goals, and providing support to ensure success and growth.

    • Establish clear communication channels: Regular team meetings and updates to ensure everyone is aligned.

    • Set SMART goals: For example, implementing quarterly objectives that are Specific, Measurable, Achievable, Relevant, and Time-bound.

    • Encourage collaboration: Use tools like Slack or Trello to facilitate ...

  • Answered by AI
  • Q3. What challenges faced as a leader?
  • Ans. 

    As a leader, I've faced challenges in team dynamics, resource allocation, and adapting to change while maintaining morale.

    • Navigating team conflicts: I once mediated a disagreement between two team members that was affecting project progress, leading to a successful resolution.

    • Resource allocation: During a critical project, I had to prioritize tasks and redistribute resources effectively to meet tight deadlines.

    • Adapting...

  • Answered by AI
  • Q4. How you perform Audits?
  • Ans. 

    I perform audits by conducting thorough reviews of processes, documentation, and compliance standards.

    • Reviewing documentation to ensure accuracy and compliance

    • Interviewing staff members to gather information and insights

    • Analyzing data and identifying areas for improvement

    • Creating detailed audit reports with findings and recommendations

  • Answered by AI
  • Q5. Structure of ISO clause for Audit
  • Ans. 

    ISO clause for Audit structure includes scope, normative references, terms and definitions, context of the organization, leadership, planning, support, operation, performance evaluation, and improvement.

    • Scope: Defines the boundaries of the audit

    • Normative references: Lists relevant standards and guidelines

    • Terms and definitions: Clarifies key terminology

    • Context of the organization: Considers internal and external factors

    • ...

  • Answered by AI
  • Q6. About the QMS structure

Interview Preparation Tips

Topics to prepare for Pharmalex Senior Specialist interview:
  • QMS,
  • Quality Audit
  • Internal Audit
Interview preparation tips for other job seekers - Be clear about your salary , they discuss salary before taking the interview, HR policy is not so good.

I appeared for an interview before Sep 2021.

Round 1 - One-on-one 

(2 Questions)

  • Q1. Reference from whom ?
  • Q2. How much experience do you have ?

Interview Preparation Tips

Interview preparation tips for other job seekers - Just go with the flow with your experience and never add on the work which you don’t know

I applied via Naukri.com and was interviewed in Jul 2019. There were 5 interview rounds.

Interview Questionnaire 

1 Question

  • Q1. Here they have work basically based on windows. So better to have c# and windows related stuff. Like win32, mfc, .net, c# . Here in my case I did not have experience in windows to ki made them clear about ...

Interview Preparation Tips

Interview preparation tips for other job seekers - Two technical rounds were there and one more technical round with US panel were there. They were very cooperative.

Health Prime Services (India) Interview FAQs

How many rounds are there in Health Prime Services (India) Senior Specialist interview?
Health Prime Services (India) interview process usually has 1 rounds. The most common rounds in the Health Prime Services (India) interview process are One-on-one Round and Technical.
How to prepare for Health Prime Services (India) Senior Specialist interview?
Go through your CV in detail and study all the technologies mentioned in your CV. Prepare at least two technologies or languages in depth if you are appearing for a technical interview at Health Prime Services (India). The most common topics and skills that interviewers at Health Prime Services (India) expect are Medical Billing, US Healthcare, Revenue Cycle Management, RCM and AR Calling.
What are the top questions asked in Health Prime Services (India) Senior Specialist interview?

Some of the top questions asked at the Health Prime Services (India) Senior Specialist interview -

  1. What we do if Medicare denial the claim as a captit...read more
  2. What is the difference between 25 modified and 15 and modif...read more
  3. From where we can check the global period time fr...read more

Tell us how to improve this page.

Overall Interview Experience Rating

4.5/5

based on 2 interview experiences

Difficulty level

Moderate 100%

Duration

Less than 2 weeks 100%
View more

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Health Prime Services (India) Senior Specialist Salary
based on 40 salaries
₹2.4 L/yr - ₹5.5 L/yr
72% less than the average Senior Specialist Salary in India
View more details

Health Prime Services (India) Senior Specialist Reviews and Ratings

based on 8 reviews

2.7/5

Rating in categories

2.9

Skill development

2.4

Work-life balance

3.8

Salary

3.0

Job security

2.6

Company culture

2.5

Promotions

2.8

Work satisfaction

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