14 Medical Billing Specialist Interview Questions (With Example Answers)
It's important to prepare for an interview in order to improve your chances of getting the job. Researching questions beforehand can help you give better answers during the interview. Most interviews will include questions about your personality, qualifications, experience and how well you would fit the job. In this article, we review examples of various medical billing specialist interview questions and sample answers to some of the most common questions.
Common Medical Billing Specialist Interview Questions
- What is your experience with medical billing?
- What is your experience with coding?
- What is your experience with insurance claims?
- What is your experience with patient collections?
- What is your experience with denials management?
- What is your experience with reimbursement?
- What is your experience with medical office software?
- What is your experience with accounting principles?
- What is your experience with auditing medical records?
- What is your experience with appeals process?
- What is your experience with Medicare/Medicaid regulations?
- What are your thoughts on the current state of the healthcare industry?
- How do you stay current on changes in the medical billing field?
- What would you do if you received a claim from an insurance company that you knew was incorrect?
What is your experience with medical billing?
An interviewer would ask "What is your experience with medical billing?" to a medical billing specialist to gain an understanding of their prior experience and knowledge in the field. This is important because it can help to determine whether or not the specialist is a good fit for the position. Additionally, it can give the interviewer a better idea of what to expect from the specialist in terms of their work.
Example: “I have worked in medical billing for over 10 years. I have experience with coding, claims submission, and reimbursement. I am familiar with both private insurance and government programs such as Medicare and Medicaid. I have a strong understanding of the medical billing process and can troubleshoot problems as they arise.”
What is your experience with coding?
One reason an interviewer might ask a medical billing specialist about their experience with coding is to gauge whether the specialist has the necessary skills to perform the job. Coding is an important part of medical billing, and it is important for specialists to be able to understand and use codes in order to accurately bill patients and insurance companies. Another reason an interviewer might ask about coding experience is to get a sense of how much experience the specialist has with medical billing in general. If the specialist has a lot of coding experience, it is likely that they have a strong understanding of the billing process and can perform the job well.
Example: “I have experience with coding in both the ICD-9 and ICD-10 systems. I am familiar with the different types of codes used for different diagnoses and procedures, and I am able to accurately code patient records.”
What is your experience with insurance claims?
There are a few reasons why an interviewer would ask a medical billing specialist about their experience with insurance claims. First, it is important to know if the specialist is familiar with the process of filing insurance claims. This is important because it will affect how efficiently the specialist can do their job. Second, the interviewer wants to know if the specialist has any experience dealing with denials or other problems that can arise with insurance claims. This is important because it will help the interviewer determine if the specialist is able to handle difficult situations. Finally, the interviewer wants to know if the specialist is familiar with the different types of insurance coverage that are available. This is important because it will help the interviewer determine if the specialist is able to advise patients on which type of coverage is right for them.
Example: “I have worked with insurance claims for over 10 years. I have experience with all major insurance carriers, including Medicare and Medicaid. I am familiar with the claims process, from start to finish. I know how to file claims electronically and how to follow up on claims that have been denied or delayed. I have a good working knowledge of medical coding and billing software.”
What is your experience with patient collections?
An interviewer would ask "What is your experience with patient collections?" to a/an Medical Billing Specialist to learn about their experience working with patients to collect payments. This is important because it can give the interviewer insight into the Medical Billing Specialist's ability to communicate with patients and collect payments.
Example: “I have worked in patient collections for over 10 years. I have experience working with insurance companies, patients, and medical providers. I am familiar with the collection process and the laws surrounding collections. I am also familiar with the different methods of collection, including phone calls, letters, and email.”
What is your experience with denials management?
The interviewer is trying to gauge the candidate's experience with denials management in order to determine if they are a good fit for the position. Denials management is an important part of the medical billing process, and it is important for the specialist to have experience with it in order to be successful in the role.
Example: “I have experience with denials management in both the private and public healthcare sector. In the private sector, I was responsible for managing denials for a large multi-specialty group. I was responsible for working with the insurance companies to get claims paid that had been denied. I was also responsible for training new staff on denials management and helping to developdenials management processes. In the public healthcare sector, I was responsible for managing denials for a county-run hospital. I was responsible for working with the insurance companies to get claims paid that had been denied. I was also responsible for training new staff on denials management and helping to developdenials management processes.”
What is your experience with reimbursement?
The interviewer is trying to gauge the candidate's experience with the reimbursement process in the medical billing field. This is important because the reimbursement process can be complex and time-consuming, and the interviewer wants to make sure the candidate is familiar with it and can handle it effectively.
Example: “I have worked in medical billing for over 10 years and have experience with all aspects of reimbursement, from filing claims to working with insurance companies to get payments processed. I have a good understanding of the different types of reimbursement plans and how to maximize reimbursement for my clients.”
What is your experience with medical office software?
An interviewer would ask "What is your experience with medical office software?" to a/an Medical Billing Specialist because it is an important aspect of the job. Medical Billing Specialists use medical office software to manage patient records, create invoices, and process payments. Having experience with medical office software helps them to perform their job duties more efficiently and effectively.
Example: “I have experience with a variety of medical office software, including electronic health records (EHRs), practice management systems, and billing and coding software. I am familiar with the features and functions of each type of software, and I am able to use them to support the efficient operation of a medical office. I am also familiar with the process of converting from paper to electronic records, and I have experience training staff on how to use new software.”
What is your experience with accounting principles?
There are a few reasons why an interviewer might ask a Medical Billing Specialist about their experience with accounting principles. First, many medical billing specialists work with patients' financial information on a daily basis, so it is important for them to have a strong understanding of basic accounting principles. Additionally, many medical billing and coding systems are based on accounting principles, so a good understanding of these concepts is essential for anyone working in the medical billing field. Finally, many insurance companies use accounting principles to determine reimbursement rates for medical procedures, so a medical billing specialist who is familiar with these concepts will be better able to negotiate higher reimbursement rates for their patients.
Example: “I have experience with accounting principles and have worked with clients in a variety of industries. I have a strong understanding of Generally Accepted Accounting Principles (GAAP) and have experience preparing financial statements in accordance with GAAP. I am also familiar with International Financial Reporting Standards (IFRS).”
What is your experience with auditing medical records?
An interviewer would ask this question to get a sense of the candidate's experience with auditing medical records. It is important to know the candidate's level of experience with this task because it will give the interviewer a better understanding of whether or not the candidate would be a good fit for the position.
Example: “I have experience auditing medical records for coding accuracy and compliance with documentation requirements. This includes reviewing the medical record to ensure that the diagnosis codes and procedure codes match the documentation in the record, and that the documentation supports the level of care that was billed. I also review records for completeness, to make sure that all required documentation is present.”
What is your experience with appeals process?
The interviewer is trying to gauge the Medical Billing Specialist's understanding of the appeals process and whether they have any experience with it. Appeals are an important part of the medical billing process, as they can help to ensure that patients are properly reimbursed for their medical care.
Example: “I have worked with the appeals process for a few years now. I have experience with writing appeals, as well as working with insurance companies to get claims paid. I know how to research denials and work with the insurance company to get the claim paid.”
What is your experience with Medicare/Medicaid regulations?
An interviewer may ask a medical billing specialist about their experience with Medicare/Medicaid regulations to get a sense of their understanding of the complexities of the insurance billing process. It is important for a medical billing specialist to have a strong understanding of Medicare/Medicaid regulations in order to correctly bill insurance companies and ensure that patients receive the coverage they are entitled to.
Example: “I have worked with Medicare/Medicaid regulations for many years. I am very familiar with the requirements for both programs and have a great deal of experience working with Medicare/Medicaid patients. I am confident that I can provide excellent service to any Medicare/Medicaid patient.”
What are your thoughts on the current state of the healthcare industry?
The healthcare industry is constantly changing, and it's important for medical billing specialists to be up-to-date on the latest trends. This question allows the interviewer to gauge the candidate's knowledge of the current state of the healthcare industry and their ability to stay abreast of changes.
Example: “The healthcare industry is in a state of flux right now. There are a lot of changes happening, and it can be difficult to keep up. I think that the current state of the healthcare industry is both exciting and challenging. Exciting because there are so many opportunities for innovation and improvement, and challenging because of the complexity of the system. I think that the current state of the healthcare industry presents both opportunities and challenges for medical billing specialists. On one hand, we have an opportunity to help streamline billing processes and improve efficiency. On the other hand, we need to be able to adapt to changing regulations and reimbursement models.”
How do you stay current on changes in the medical billing field?
An interviewer would ask "How do you stay current on changes in the medical billing field?" to a/an Medical Billing Specialist because it is important for medical billing specialists to be up-to-date on the latest changes in the medical billing field in order to correctly bill patients and insurance companies.
Example: “There are a few different ways that I stay current on changes in the medical billing field. I read industry-specific news sources and blogs, I attend industry conferences and events, and I am a member of several professional organizations.”
What would you do if you received a claim from an insurance company that you knew was incorrect?
The interviewer is asking this question to gauge the medical billing specialist's ability to handle claims that are incorrect. This is important because it is a common issue that medical billing specialists face and it requires a certain level of knowledge and skill to handle correctly. By asking this question, the interviewer can get a better sense of the medical billing specialist's abilities and whether or not they would be able to effectively handle this type of situation.
Example: “If I received a claim from an insurance company that I knew was incorrect, I would first contact the insurance company to try to resolve the issue. If the issue could not be resolved, I would then file a claim with the appropriate state or federal agency.”