Pacific BPO Senior Executive Operations Interview Questions and Answers

Q1. Basic Medical billing questions
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Q2. Payer types
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Q3. Medicare part b deductibles
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Q1. Types of payers in us healthcare
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Q2. What is QMB or Dual plan
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You will have to answer 15 questions for basic Medical billing questions which is about Insurance payers and AR denials.

Q1. Tell about 5 denials occur most commonly
Ans. 
Common denials in operations include lack of documentation, incorrect coding, eligibility issues, timely filing limits, and duplicate claims.
• Lack of documentation (e.g. missing or incomplete medical records)

• Incorrect coding (e.g. using incorrect procedure or diagnosis codes)

• Eligibility issues (e.g. patient not covered by insurance or policy limitations)

• Timely filing limits (e.g. claims not submitted within specified ti...read more
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