Accounts Receivable Caller Analyst

Accounts Receivable Caller Analyst Interview Questions and Answers

Updated 7 Sep 2024

Q1. Explain how to resolve no auth. Denial?

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To resolve a no auth denial, verify insurance coverage, obtain authorization, and resubmit the claim.

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Coding is important for organizing and processing data efficiently.

Coding helps in automating repetitive tasks, saving time and reducing errors.
It allows for complex calculations and analysis to be performed quickly and accurately.
Proper coding ensures data is structured in a way that is easy to access and understand.
Coding also enables customization and flexibility in data management processes.
For example, in accounts receivable, coding helps in tracking payments, identifyin...read more

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Managed Service Provider

MSP stands for Managed Service Provider
MSPs are companies that provide IT services to other businesses on a subscription basis
Examples of MSPs include IBM, Accenture, and Dell

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Modifiers are codes used in medical billing to provide additional information about a service or procedure.

Modifiers are two-digit codes appended to a CPT or HCPCS code to indicate that a service or procedure has been altered in some way
Modifiers can affect reimbursement rates, indicate that multiple procedures were performed, or provide more specific information about the service
For example, modifier -59 is used to indicate a distinct procedural service

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RCM Process stands for Revenue Cycle Management Process, which involves managing the financial aspects of healthcare services.

RCM Process involves tasks such as patient registration, insurance verification, coding, billing, and collections.
It ensures that healthcare providers are properly reimbursed for the services they provide.
Efficient RCM Process helps in maximizing revenue and reducing denials.
Example: A hospital using RCM Process to streamline billing and collections to...read more