IKS Health Quality Expert Interview Questions and Answers

Q1. How could you manage escalations being a quality expert
Ans. 
As a quality expert, managing escalations involves clear communication, root cause analysis, and timely resolution.
• Establish clear escalation processes and communication channels

• Conduct root cause analysis to identify underlying issues

• Prioritize escalations based on impact and urgency

• Collaborate with relevant stakeholders to find solutions

• Ensure timely resolution and follow-up to prevent future escalations
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Q2. How can you improve a Associate's Quality
Ans. 
To improve an Associate's Quality, provide training, feedback, set clear expectations, and encourage continuous improvement.
• Provide regular training sessions to enhance skills and knowledge

• Offer constructive feedback to address areas of improvement

• Set clear expectations and goals to guide performance

• Encourage a culture of continuous improvement and learning

• Recognize and reward high-quality work to motivate associates
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Should complete depth knowledge of RCM provider payer insurance policies and plans used benefits and coverage with details of coding billing PCP cob delegation timily filing.

Basic numerical like that of probability and logical questions

Q1. What is medical prior authorisation and different types of authorisation?
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Q2. What is peer2peer review? What is different types of medical reports? What is eligibility and how to handle eligibility denial? How to initiate prior authorisation via portal or calling, explain with an ex...read more
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