20+ Medical Billing Executive Interview Questions and Answers

Revenue cycle management is the process of managing the financial aspects of a patient's healthcare journey.

• It involves everything from verifying insurance coverage to submitting claims and collecting payments.

• The goal is to optimize revenue and minimize financial risk for healthcare providers.

• The insurance cycle includes the steps of patient registration, insurance verification, claim submission, claim adjudication, and payment.

• Experience in medical billing, coding, and reim...read more

End payment posting process involves reconciling payments received with billed charges. ERA/EOB are electronic remittance advice/explanation of benefits.

• End payment posting process involves matching payments received with billed charges

• Verify accuracy of payments and adjustments

• Update patient accounts with payment information

• ERA (Electronic Remittance Advice) is an electronic document that provides details about payments and adjustments made by insurance companies

• EOB (Explana...read more

RCM process is the cycle of managing healthcare revenue from patient registration to final payment.

• RCM stands for Revenue Cycle Management

• It involves managing the financial aspects of healthcare services

• The process includes patient registration, insurance verification, coding and billing, claim submission, payment posting, and denial management

• The goal is to optimize revenue and minimize claim denials

• Examples of RCM software include Epic, Cerner, and Allscripts

The feature allows users to pin important clips for easy access and automatically deletes unpinned clips after 1 hour.

• Pinning clips helps prioritize important information

• Unpinned clips are automatically deleted after 1 hour

• Users can easily access pinned clips for quick reference

Medical billing process involves submitting and following up on claims with health insurance companies to receive payment for services rendered.

• Gathering patient information and verifying insurance eligibility

• Coding diagnoses and procedures using standardized systems

• Submitting claims to insurance companies electronically or by mail

• Following up on unpaid or denied claims

• Posting payments and reconciling accounts

• Providing customer service to patients and insurance companies

• Stayi...read more

The interviewer wants to know about your experience and skills in medical billing.

• Highlight your experience in medical billing, including any certifications or specialized training.

• Discuss your knowledge of medical coding systems and regulations, such as ICD-10 and CPT codes.

• Explain your proficiency in using billing software and handling insurance claims.

• Provide examples of how you have improved billing processes or resolved billing discrepancies in the past.

Medical billing involves the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by a healthcare provider.

• Medical billing involves translating medical procedures into billing codes

• It includes verifying patient insurance coverage and submitting claims to insurance companies

• Follow up on unpaid claims and resubmitting if necessary

• Ensuring compliance with healthcare regulations and guidelines

• Handling p...read more

Short cuts for processing can include utilizing software automation, templates, and keyboard shortcuts.

• Utilize software automation to streamline repetitive tasks

• Create and use templates for common billing processes

• Learn and use keyboard shortcuts for faster data entry

• Use batch processing for multiple claims at once

The process in technical terms involves utilizing software and systems to accurately code and submit medical bills for reimbursement.

• Utilizing medical billing software to input patient information, procedures, and diagnoses

• Assigning appropriate medical codes to each service provided

• Submitting claims electronically to insurance companies for reimbursement

• Following up on unpaid claims and resolving any billing discrepancies

• Ensuring compliance with healthcare regulations and gui...read more

Medicare is for seniors and disabled, while Medicaid is for low-income individuals and families.

• Medicare is a federal program that provides health insurance to people aged 65 and older, as well as those with certain disabilities.

• Medicaid is a joint federal and state program that provides health insurance to low-income individuals and families.

• Medicare is funded by payroll taxes and premiums, while Medicaid is funded by both federal and state governments.

• Medicare covers a wide...read more

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by a healthcare provider.

• Medical billing involves translating healthcare services into billing codes

• Submitting claims to insurance companies for reimbursement

• Following up on unpaid claims and denials

• Ensuring compliance with billing regulations and guidelines

• Examples: CPT codes, ICD-10 codes, UB-04 forms

My favorite person is my grandmother.

• She has always been a source of love and wisdom in my life.

• She taught me valuable life lessons and always supported me.

• I have fond memories of spending time with her and learning from her experiences.

I have 5 years of experience in medical billing, including managing a team and implementing efficient billing processes.

• Managed a team of medical billers and coders

• Implemented electronic billing systems to streamline processes

• Ensured accurate coding and documentation for maximum reimbursement

• Worked closely with insurance companies to resolve billing issues

• Trained staff on medical billing regulations and compliance

Claims will reject when there are errors in patient information, incorrect coding, lack of documentation, or timely filing issues.

• Errors in patient information such as incorrect name, date of birth, or insurance details

• Incorrect coding of procedures or diagnoses

• Lack of required documentation to support the claim

• Timely filing issues where the claim is submitted after the deadline

RCM stands for Revenue Cycle Management, which is the process of managing claims, payments, and revenue generation in the healthcare industry.

• RCM involves tasks such as patient registration, insurance verification, coding, billing, and collections.

• It aims to optimize the financial performance of a healthcare organization by ensuring accurate and timely reimbursement for services provided.

• Examples of RCM software include Epic Systems, Cerner, and Athenahealth.

The RCM cycle refers to the revenue cycle management process in healthcare billing.

• The RCM cycle starts with patient registration and appointment scheduling.

• It involves verifying insurance coverage and eligibility.

• Medical services are provided and documented, followed by coding and billing.

• Claims are submitted to insurance companies for reimbursement.

• Payment posting and follow-up on denied claims are part of the RCM cycle.

• The cycle ends with patient statements and collections...read more

Drugs are substances used to treat, cure, or prevent diseases and medical conditions.

• Drugs can be prescribed by a doctor or purchased over-the-counter.

• They can be used to relieve pain, reduce inflammation, lower blood pressure, and more.

• Some drugs have side effects and can interact with other medications.

• Examples of drugs include aspirin, antibiotics, antidepressants, and chemotherapy drugs.

ADRs are adverse drug reactions that can occur due to medication use.

• ADRs can range from mild to severe and can affect different parts of the body.

• Common ADRs include nausea, dizziness, and headache.

• Serious ADRs can include liver damage, kidney failure, and anaphylaxis.

• Some drugs have a higher risk of causing ADRs than others.

• It is important for healthcare providers to monitor patients for ADRs and adjust medication as needed.

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by a healthcare provider.

• Medical billing involves translating healthcare services into billing codes

• Claims are submitted to insurance companies for reimbursement

• Follow-up is done to ensure timely payment

• Knowledge of medical coding and insurance policies is essential

Common types of denials in medical billing include coding errors, lack of pre-authorization, and timely filing issues.

• Coding errors: Incorrect or missing codes on claims can result in denials.

• Lack of pre-authorization: Some procedures require pre-authorization from the insurance company before they will be covered.

• Timely filing issues: Claims must be submitted within a certain timeframe to be processed, and late submissions can lead to denials.

• Duplicate billing: Submitting th...read more