R1 RCM Interview Questions, Process, and Tips

Q1. Explain about yourself
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Q2. Explain briefly about your previous role .
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Q3. Some other basics questions relavent to your department like explain abt MDM table ,what are telemed CPTs etc...
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Gave some sample charts need to identify the correct level

Q1. Why do u leaving your previous company
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Q1. Self introduction
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Q2. Your last weekend
Ans. 
Spent the weekend hiking in the mountains with friends and enjoying a picnic by a waterfall.
• Went hiking in the mountains

• Had a picnic by a waterfall

• Enjoyed the company of friends
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Typing, reasoning, Aptitude

Q1. Why u want to join R1
Ans. 
I want to join R1 because of its reputation for cutting-edge research and innovative solutions in the industry.
• R1 is known for its commitment to research and development

• I am impressed by the company's track record of success in the industry

• I believe R1 offers a challenging and rewarding work environment
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Q2. What is FCC
Ans. 
FCC stands for Federal Communications Commission.
• FCC is a regulatory agency in the United States responsible for overseeing communications by radio, television, wire, satellite, and cable.

• It was established by the Communications Act of 1934.

• FCC regulates interstate and international communications by radio, television, wire, satellite, and cable.

• It enforces regulations to ensure fair competition and protects consumers.

• ...read more
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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. What do you know about customer service
Ans. 
Customer service involves providing assistance and support to customers before, during, and after a purchase.
• Customer service is all about meeting the needs and expectations of customers.

• It involves actively listening to customers, addressing their concerns, and finding solutions to their problems.

• Providing timely and accurate information, being courteous and empathetic, and going above and beyond to ensure customer sa...read more
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Q2. Why do you wanna work here
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