Top 10 Questions for Medical Biller Interview

1. In the case of a multi-procedure claim, how do you assign the correct place of service (POS) for each line item?

The place of service (POS) is determined by the location where the service was provided. For example, if a patient is seen in the office, the POS would be 11. If a patient is seen in the hospital, the POS would be 21.

2. What is the difference between an ICD-10-CM and an ICD-10-PCS code?

ICD-10-CM codes

• used to classify diseases and injuries.
• have seven characters.
• are updated annually.

ICD-10-PCS codes

• used to classify procedures.
• have seven characters.
• are updated annually.

3. How do you handle denied claims?

When a claim is denied, I first review the remittance advice to determine the reason for the denial. Then, I take the following steps:

• Contact the insurance company to obtain more information about the denial.
• Review the patient’s medical records to ensure that all of the necessary information was submitted with the claim.
• Resubmit the claim with the corrected information or additional documentation.

4. What are the most common errors that you see on medical bills?

The most common errors that I see on medical bills include:

• Incorrect patient information
• Incorrect provider information
• Incorrect procedure codes
• Incorrect diagnosis codes
• Missing or incomplete information

5. How do you stay up-to-date on the latest changes to medical billing regulations?

I stay up-to-date on the latest changes to medical billing regulations by reading industry publications, attending webinars, and taking continuing education courses.

6. What are your strengths and weaknesses as a medical biller?

My strengths as a medical biller include my attention to detail, my accuracy, and my ability to work independently. My weakness is that I am not yet familiar with all of the different insurance company rules and regulations.

7. Why are you interested in this position?

I am interested in this position because I am passionate about helping people and I believe that my skills and experience would be a valuable asset to your team.

8. What are your salary expectations?

My salary expectations are in line with the market average for medical billers in my area.

9. What is your availability?

I am available to work full-time, Monday through Friday.

10. Do you have any questions for me?

I do not have any questions for you at this time.

1. Obtain and Review Patient Information

Interview patients or review medical records to gather necessary information, like demographics, insurance details, and medical history

2. Verify Insurance Coverage

Check patient’s insurance coverage, eligibility, benefits, and deductibles

3. Determine Medical Codes

Assign appropriate procedure and diagnosis codes based on patient’s medical records using coding systems like ICD-10-CM and CPT

4. Create and Submit Claims

Prepare and submit medical bills to insurance companies electronically or by mail, ensuring claims adhere to industry standards (e.g., HIPAA)

5. Follow up on Unpaid Claims

Regularly monitor claim statuses, identify unpaid bills, and follow up with insurance companies or patients to resolve discrepancies

6. Process Payments

Post received payments, apply adjustments, issue refunds, and credit or debit patient accounts

7. Maintain Records and Data

Keep accurate and organized records of patient accounts, medical bills, and related documentation

8. Ensure Compliance and Privacy

Understand and comply with healthcare regulations, privacy laws (e.g., HIPAA), and medical billing protocols

1. Research the Healthcare Industry

Familiarize yourself with the latest medical billing practices, coding systems, and regulatory requirements

2. Practice Coding

Demonstrate proficiency in medical coding by practicing coding scenarios using ICD-10-CM and CPT codes

3. Highlight Experience with Medical Billing Software

Emphasize your experience working with medical billing software and understanding of claim submission processes

4. Focus on Communication Skills

Medical billers communicate regularly with patients, insurance companies, and other healthcare professionals. Highlight your ability to communicate clearly and effectively

5. Prepare Examples of HIPAA Compliance

Discuss your knowledge of HIPAA regulations and provide examples of how you protect patient information

6. Show Attention to Detail

Medical billing requires meticulous attention to detail. Provide examples of how you ensure accuracy in your work

7. Research the Company and Position

Understand the company’s culture, goals, and specific requirements of the medical biller position