Medical billing Possible Interview Questions Flashcards
Remember these for questions during interview
HCPCS
Supplies and services not covered in CPT
CPT
Procedure Codes
ICD-10
Diagnosis Codes
How do you handle rejected claims?
checking the denial reason, correcting errors, appealing if necessary, and resubmitting the claim.
most common reasons for claim denials?
Incorrect coding, missing patient info, duplicate claims, expired insurance, or lack of medical necessity.
What billing software have you used?
ChiroTouch, Epic, Medisoft
What is HIPAA, and why is it important in medical billing?
HIPAA protects patient privacy and ensures secure handling of medical records and billing information.
How do you handle working with insurance companies?
Talk about verifying insurance, understanding different payer rules, submitting clean claims, and appealing denials when needed.
Co-pay
Fixed amount patient pays per visit
Deductible
Amount patient must pay before insurance covers costs
Coinsurance
Percentage patient pays after the deductible is met
Tell me about a time you had to handle a difficult situation.
Even if from a past job, talk about problem-solving, patience, and professionalism.
How do you stay organized while handling multiple tasks?
Mention time management skills, using checklists, and prioritizing urgent tasks.
How would you handle an angry patient who is upset about their bill?
Stay calm, listen to their concern, explain the charges clearly, and offer to check for billing errors or insurance coverage.
What would you do if you noticed a coding mistake?
Identify the error, correct it, and ensure it’s resubmitted properly to avoid claim denial or compliance issues.
Do you have any questions for us?
Always have a few! You can ask:
not really a question just remember to ask!!!
What billing system do you use?
What does a typical day look like in this role?
What are the biggest challenges in this position?
New patient office visits (Levels 1-5) CPT Code
99202-99205
Established patient office visits (Levels 1-5) CPT Code
99212-99215
Emergency department visits
99281-99285
