R1 RCM Interview Questions, Process, and Tips for Experienced

Q1. Self Introduction, Experience Roles and skills
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Voice and accent, Aptitude

Q1. Related to process US Healthcare
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Q2. How many step in RCM and Explain step of revenue cycle management?
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Q3. How many tyoes of Federal Insurance?
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Q4. What is modified and why it's important?
Ans. 
Modified refers to changes made to something to improve its functionality or performance.
• Modification can involve altering existing features or adding new ones

• It is important because it allows for continuous improvement and adaptation to changing needs

• In software development, modified code is often used to fix bugs or add new functionality
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Q5. What is dedicate? It's eligbility.
Ans. 
Dedicate eligibility refers to the qualifications or requirements needed to be considered for a dedicated position or task.
• Dedicate eligibility may include specific skills, experience, education, or certifications.

• For example, a Senior Analyst position may require a minimum of 5 years of relevant experience in the field.

• Eligibility criteria can vary depending on the organization and the nature of the role.
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Q6. What is PR and how many types of PR?
Ans. 
PR stands for Public Relations, which is the practice of managing communication between an organization and its publics.
• Public Relations (PR) is the strategic communication process that builds mutually beneficial relationships between organizations and their publics.

• Types of PR include media relations, crisis communication, internal communication, community relations, and investor relations.

• Examples of PR activities in...read more
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Q7. What is Authorization dental. Explain on call scenario?
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Q8. What is modifier 76 and 77 used for?
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Q9. From which date we calculate timely filing denial ?
Ans. 
Timely filing denial is calculated from the date of service.
• Timely filing denial is calculated based on the date of service provided on the claim.

• Insurance companies have specific time frames within which claims must be submitted after the date of service.

• If a claim is submitted after the timely filing deadline, it may be denied for timely filing.

• Timely filing deadlines can vary depending on the insurance company and t...read more
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Q10. Place of service 21, 23, 34.
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Q11. How many parts in dedicate and Explain it.
Ans. 
There are two parts in dedicate: de and dicate. De means down or away, and dicate means to say or speak.
• De means down or away

• Dicate means to say or speak
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Q12. Commercial insurance plan types.
Ans. 
Commercial insurance plan types include PPO, HMO, EPO, and POS.
• Preferred Provider Organization (PPO) - offers a network of healthcare providers and allows members to see out-of-network providers at a higher cost

• Health Maintenance Organization (HMO) - requires members to choose a primary care physician and get referrals for specialists

• Exclusive Provider Organization (EPO) - similar to a PPO but does not cover any out-of...read more
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Q13. How to do follow-up, If claim paid to incorrect address? On call scenario.
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Q1. Introduction and hobbies
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Q2. Questions related to ur degree background
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4 rounds logical reasoning versant round accent round typing

Q1. Why u wanna join our company
Ans. 
I am impressed by your company's innovative approach and strong reputation in the industry.
• I admire the company's commitment to excellence and continuous improvement.

• I am excited about the opportunity to work with a talented team and contribute to the company's success.

• I believe that the company's values align with my own professional goals and aspirations.
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Q2. Where u see urself in this company
Ans. 
I see myself growing and advancing within the company, taking on more responsibilities and contributing to its success.
• Continuing to learn and develop new skills to excel in my role

• Building strong relationships with colleagues and mentors for support and guidance

• Seeking opportunities for advancement and taking on leadership roles

• Contributing innovative ideas and solutions to help the company achieve its goals
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SQL, Tableau, SSIS, MS Power BI, Snowflake, Python, Azure

Q1. Tell me something about yourself?
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Q2. Tell me abt the Experience u hv?
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Q3. Salary expectations?
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Basic aptitude , reasoning, English and typing test

Q1. Tell something about yourself? Why you left your last company? What was your roles and responsibilities? A basic calculation question, Why R1? What's your strength? What's your future plana for next years?...read more
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Q1. Your salary package
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Q1. What is rcm and what is it step
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Q2. Ask for main denials with codes
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