20+ Team Industrial Consultancy Services Interview Questions and Answers

My plans in Thryve Digital involve utilizing my process analysis skills to optimize workflows and improve efficiency.

• Identifying bottlenecks in current processes

• Developing and implementing solutions to streamline workflows

• Collaborating with cross-functional teams to ensure smooth operations

• Continuously monitoring and analyzing processes to identify areas for improvement

• Leveraging data and analytics to make data-driven decisions

• Providing regular reports and updates on process ...read more

Medicare Advantage Plan (MAPD) is a type of Medicare health plan offered by private companies approved by Medicare. EOB stands for Explanation of Benefits.

• MAPD is an alternative to Original Medicare and provides additional benefits like prescription drug coverage, dental, vision, and hearing services.

• Private insurance companies administer MAPD plans and must follow Medicare guidelines.

• EOB is a statement sent by health insurance companies to explain what medical treatments and...read more

OPPs help in achieving optimized solutions by breaking down complex problems into smaller, manageable parts.

• OPPs allow for better organization and structure of code

• They promote code reusability and modularity

• They help in achieving better performance and scalability

• Examples include using classes and objects in Java or C++

• OPPs also make it easier to maintain and update code over time

Processing claims from top to down approach involves prioritizing high-value claims and resolving them first.

• Claims are sorted based on their value and urgency

• High-value claims are given priority and processed first

• Claims are reviewed for completeness and accuracy before processing

• Claims are processed in a timely manner to ensure customer satisfaction

• Claims are closed once they are resolved or denied

Managed care products involve coordinating healthcare services to improve quality and control costs.

• Managed care products focus on coordinating healthcare services for members

• They often involve networks of providers who agree to provide services at a discounted rate

• Examples include HMOs, PPOs, and EPOs

• Utilization management and care coordination are key components of managed care products

Copay, coinsurance, and deductible are terms used in health insurance to describe the amount a patient pays for medical services.

• Copay is a fixed amount paid by the patient for a specific medical service, such as a doctor's visit or prescription medication.

• Coinsurance is a percentage of the cost of a medical service that the patient is responsible for paying, after the deductible has been met.

• Deductible is the amount the patient must pay out of pocket before the insurance com...read more

Our current test environment management tool is Jenkins, which helps automate our testing processes and streamline our daily activities.

• Jenkins allows us to schedule and run automated tests, saving time and effort.

• It provides detailed reports on test results, helping us identify and fix issues quickly.

• We can integrate Jenkins with other tools like Jira for seamless workflow management.

The process involves analyzing and improving existing business processes to increase efficiency and productivity.

• Process analysis involves identifying current processes, documenting them, and analyzing them for inefficiencies.

• The goal is to streamline processes, eliminate waste, and improve overall performance.

• Examples of process analysis tools include flowcharts, value stream mapping, and root cause analysis.

The 'static' keyword is used in programming to declare variables, functions, or classes that retain their values or state across multiple function calls or instances.

• Static variables are initialized only once and retain their values throughout the program's execution.

• Static functions can only access other static variables and functions within the same class.

• Static classes cannot be instantiated and are used to provide utility functions or constants.

• Static keyword can also be ...read more

Claim product development involves identifying customer needs, designing products, pricing, marketing, and handling claims.

• Identify customer needs and market trends

• Design products that meet customer requirements

• Price products competitively in the market

• Develop marketing strategies to promote products

• Establish processes for handling claims efficiently

Agile testing is a software testing methodology that follows the principles of agile software development. Regression testing is the process of testing changes to ensure that previously developed and tested software still performs correctly. Waterfall model and V model are software development models.

• Agile testing involves continuous testing throughout the software development lifecycle

• Regression testing ensures that changes to software do not affect previously developed and ...read more

Swift payment flows refer to the process of transferring funds quickly and securely between financial institutions globally.

• Swift payment flows involve the sender initiating a payment instruction through their bank.

• The instruction is then sent to the recipient's bank via the SWIFT network.

• The recipient's bank verifies the payment details and credits the recipient's account.

• An example of an end-to-end payment flow is when a company in the US sends a wire transfer to a supplier...read more

Yes, I am aware of JIRA and have experience using ticketing tools in previous projects.

• Yes, I have used JIRA extensively in previous projects for tracking tasks and issues.

• I am familiar with creating, assigning, and tracking tickets in JIRA.

• I have also used other ticketing tools like Trello and Asana for project management.

EOB contains information about medical claims and payments.

• EOB stands for Explanation of Benefits.

• It includes details about medical services provided, charges, and payments.

• It also shows the patient's responsibility for payment, such as deductibles or co-pays.

• EOBs are typically sent to patients after their insurance company processes a claim.

• They can be used to verify that the insurance company paid the correct amount for services rendered.

Thryve Digital is a healthcare data analytics company.

• Thryve Digital provides data analytics solutions to healthcare organizations.

• They offer services such as predictive modeling, risk stratification, and population health management.

• Their platform integrates data from various sources to provide actionable insights for healthcare providers.

• Thryve Digital's solutions help improve patient outcomes and reduce healthcare costs.

• They have partnerships with leading healthcare organi...read more

Different types of testing in software development include unit testing, integration testing, system testing, and acceptance testing.

• Unit testing: Testing individual components or modules of the software to ensure they work correctly.

• Integration testing: Testing how different modules work together as a group.

• System testing: Testing the entire system as a whole to ensure all components work together properly.

• Acceptance testing: Testing the software with end-users to ensure it ...read more

Effective leave management during peak requires planning, communication and flexibility.

• Plan ahead and communicate clearly with team members about leave policies and expectations.

• Encourage team members to prioritize their workload and take time off when necessary.

• Be flexible and willing to adjust schedules or delegate tasks to ensure coverage during peak periods.

• Consider offering incentives or rewards for team members who are able to work during peak periods.

• Monitor leave req...read more

Table C in E/M table is used to determine the level of medical decision making based on the number and complexity of problems addressed.

• Table C is part of the Evaluation and Management (E/M) documentation guidelines used in medical coding.

• It helps healthcare providers determine the level of medical decision making involved in a patient encounter.

• The table categorizes decision making into straightforward, low complexity, moderate complexity, and high complexity based on the nu...read more

TCM process in E/M refers to the time-based coding system used in evaluation and management services.

• TCM stands for Time-based Coding Method.

• It involves determining the level of service based on the total time spent by the provider on a patient's care during a specific period.

• Time includes face-to-face time with the patient, as well as non-face-to-face time spent on activities such as reviewing records, communicating with other healthcare professionals, and coordinating care....read more

I handle escalations by actively listening, empathizing, finding solutions, and escalating to higher management if needed.

• Listen to the customer's concerns and empathize with their situation

• Find a solution that meets the customer's needs and address the issue promptly

• If unable to resolve, escalate the issue to higher management while keeping the customer informed

• Follow up with the customer to ensure the escalation was resolved satisfactorily