17 Medical Biller Interview Questions and Answers (2023)

Medical billers are responsible for billing patients and insurance companies for the services provided by physicians and other healthcare professionals. They must have a detailed understanding of insurance rules and regulations and be able to accurately code services provided to ensure that patients are billed correctly.

If you’re looking for a medical billing job, you’ll likely need to go through a job interview. To help you prepare for the interview, we’ve put together a list of common medical billing interview questions and answers.

Common Medical Biller Interview Questions

  • Are you familiar with the HIPAA Privacy Rule?
  • What are some of the most important qualities that a medical biller should have?
  • How do you stay organized when dealing with multiple patients and their claims at the same time?
  • What is your experience with working with insurance companies?
  • Provide an example of a time when you had to help a patient resolve a billing issue.
  • If a patient has a question about a charge on their bill, how would you handle it?
  • What would you do if you noticed a mistake in a patient’s medical record?
  • How well do you understand the billing codes used in the healthcare industry?
  • Do you have experience using billing software to process claims?
  • When communicating with patients, how do you make sure to explain complex billing information in a way that they can understand?
  • We want to improve our turnaround time for processing claims. What strategies would you use to help us do this?
  • Describe your process for filing and storing medical records.
  • What makes you stand out from other candidates for this job?
  • Which medical billing certifications do you currently hold?
  • What do you think is the most important aspect of customer service for a medical biller?
  • How often do you update your knowledge of the latest changes in the healthcare industry?
  • There is a new law that impacts how you can collect payment from patients. What is your process for making sure you comply with the law?

Are you familiar with the HIPAA Privacy Rule?

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy of an individual’s medical records. Employers ask this question to make sure you understand how important it is to keep patient information confidential. In your answer, explain why you know about HIPAA and what steps you take to protect private health information.

Example: “I am very familiar with the HIPAA Privacy Rule because I worked in a hospital setting for five years. We had to go through training on HIPAA every year, so I learned all about the importance of protecting patient information. At my previous job, we were required to sign a confidentiality agreement before accessing any patient files. I always made sure to lock up my workstation when I left for lunch or at the end of the day.”

What are some of the most important qualities that a medical biller should have?

This question is a great way to show the interviewer that you have the skills and abilities needed for this role. When answering, it can be helpful to list some of your own personal qualities as well as those that are important in billers.

Example: “I think one of the most important qualities a medical biller should have is attention to detail. This job requires someone who can accurately record patient information and ensure all billing codes are entered correctly. Another quality I believe is essential is communication skills. Billing often involves working with many different departments within a hospital or clinic, so being able to communicate effectively is key.”

How do you stay organized when dealing with multiple patients and their claims at the same time?

This question can help the interviewer understand how you plan your day and manage multiple tasks. Your answer should show that you have a system for organizing your work, whether it’s through software or other methods.

Example: “I use an online calendar to schedule my appointments with patients and track when I need to submit their claims. This helps me stay on top of deadlines and ensures I don’t miss any important dates. In addition, I also use a spreadsheet to keep track of all my active patients so I know who still needs care and who has already received treatment.”

What is your experience with working with insurance companies?

This question can help the interviewer determine your experience with working in a medical billing department and how you interact with other departments. Use examples from previous work experiences to highlight your interpersonal skills, problem-solving abilities and ability to meet deadlines.

Example: “In my last position as a medical biller, I worked closely with insurance companies to ensure that all claims were submitted correctly. This helped me develop strong communication skills and learn more about different types of insurance plans. In one instance, I noticed an error on a claim for a patient who had recently switched insurance providers. I contacted the patient’s previous insurer to correct the mistake and resubmitted the claim.”

Provide an example of a time when you had to help a patient resolve a billing issue.

This question can help interviewers understand how you interact with patients and their concerns. It can also show them your customer service skills. When answering this question, it can be helpful to mention a specific example of when you helped resolve a billing issue for a patient.

Example: “When I was working as an assistant medical biller at my previous job, one of my primary responsibilities was helping patients who had questions about their bills or insurance claims. One time, a patient called me because they were confused about why they received two separate bills from the hospital. After asking them some questions, I determined that they hadn’t paid their first bill yet. I explained this to them and assured them that we would take care of the second bill once they paid the first.”

If a patient has a question about a charge on their bill, how would you handle it?

Interviewers may ask this question to learn how you interact with patients and help them understand their bills. Use your answer to show that you are patient-focused, detail-oriented and able to communicate clearly with patients about their medical charges.

Example: “If a patient has a question about a charge on their bill, I would first make sure they have all the information needed to understand it. For example, if they were confused about why there was an additional charge for a service, I would explain our billing process so they can see where the extra charge came from. If they still have questions after that, I would offer to call the hospital’s financial department to get more details.”

What would you do if you noticed a mistake in a patient’s medical record?

This question can help interviewers understand how you handle errors and challenges in the workplace. Use your answer to highlight your problem-solving skills, ability to communicate with others and attention to detail.

Example: “If I noticed a mistake in a patient’s medical record, I would first make sure that it was indeed an error. If so, I would immediately contact the physician who made the entry to let them know about the mistake. Then, I would work with my team members to correct the error as quickly as possible. This is important because it helps ensure patients receive the care they need while also ensuring we are billing for services accurately.”

How well do you understand the billing codes used in the healthcare industry?

This question is an opportunity to show the interviewer that you have a strong understanding of medical billing codes. Use your answer to highlight any specific coding knowledge you have and how it has helped you in previous roles.

Example: “I’ve been working as a medical biller for five years now, so I am very familiar with all of the different types of billing codes used in the healthcare industry. In my last role, I was responsible for creating new billing codes when needed and updating them when there were changes. This experience has given me a lot of insight into what makes a good code and how to use them effectively.”

Do you have experience using billing software to process claims?

This question can help interviewers determine your level of experience with the software they use at their company. If you have no prior experience, consider asking about what type of software they use and how it works before your interview to learn more about it.

Example: “I’ve used several different types of billing software in my previous positions, including Medisoft, Practice Fusion and Greenway Medical Technologies. I find that each system has its own unique benefits, but I prefer using systems that allow me to work from anywhere as long as I have an internet connection. This allows me to complete tasks while waiting for patients or during lunch breaks.”

When communicating with patients, how do you make sure to explain complex billing information in a way that they can understand?

Medical billing is a complex process, and the interviewer may want to know how you would communicate with patients about their bills. Showcase your communication skills by explaining how you would break down information into simple terms that are easy for patients to understand.

Example: “I find it important to explain medical billing in ways that patients can easily understand. I always make sure to use plain language when talking to them so they don’t feel overwhelmed or confused. If they have questions, I am happy to answer them as thoroughly as possible. I also provide them with resources where they can learn more about common billing procedures.”

We want to improve our turnaround time for processing claims. What strategies would you use to help us do this?

This question is an opportunity to show your knowledge of the industry and how you can help improve a company’s processes. When answering this question, it can be helpful to discuss specific strategies that have helped you or other companies in the past.

Example: “I would first look at our current turnaround time for processing claims and see if there are any areas we could streamline. I’ve worked with several hospitals where we were able to reduce our turnaround time by implementing electronic signatures on all claims. This allowed us to process them more quickly because they didn’t need to go through as many people before being approved.”

Describe your process for filing and storing medical records.

This question is an opportunity to show your attention to detail and organizational skills. When answering this question, describe a specific process you use for filing records or storing them digitally.

Example: “I have found that the best way to file medical records is by patient name. I also like to keep all of their billing information together in one folder so it’s easy to find when needed. For digital storage, I prefer to store files on a secure server where they can be accessed from any computer with internet access. This allows me to work remotely if necessary.”

What makes you stand out from other candidates for this job?

Employers ask this question to learn more about your qualifications and how you can contribute to their team. When answering, it’s important to highlight your skills that match the job description and emphasize why you’re a good fit for the role.

Example: “I have five years of experience as a medical biller, which makes me an ideal candidate for this position. I also have excellent communication skills, which is essential for working in healthcare. In my previous role, I was responsible for training new employees on our billing software, so I’m familiar with the system and know how to use it efficiently.”

Which medical billing certifications do you currently hold?

Employers may ask this question to learn more about your experience and expertise in the medical billing field. They might also use it as an opportunity to see if you meet any of their company’s requirements for certification. When answering, consider mentioning which certifications you hold and how they relate to the job description.

Example: “I currently hold two professional certifications in medical billing. The first is a Certified Professional Biller credential from the American Medical Billing Association. This certification shows that I have at least three years of relevant work experience and am familiar with industry best practices. My second certification is a Certified Professional Coder credential from the American Academy of Professional Coders. This certification demonstrates my knowledge of coding standards and procedures.”

What do you think is the most important aspect of customer service for a medical biller?

Interviewers may ask this question to see how you prioritize your work and what skills you use to provide excellent customer service. When answering, consider which aspects of the job are most important to you and describe how you would perform those tasks.

Example: “I think that communication is the most important aspect of providing good customer service for a medical biller. I always make sure to communicate with my patients about their bills so they understand why they owe money and can plan ahead for payment. I also like to keep my colleagues informed about billing issues so we can all help each other when needed.”

How often do you update your knowledge of the latest changes in the healthcare industry?

The interviewer may ask this question to see if you are committed to staying up-to-date with the latest developments in your field. To answer, think of a time when you took initiative to learn more about medical billing and coding.

Example: “I am passionate about my career as a medical biller, so I make it a point to read industry news every day. In fact, I subscribe to several newsletters that provide me with information on new healthcare laws and regulations, software updates and other important topics. This helps me stay current on all changes within the industry, which allows me to perform my job efficiently.”

There is a new law that impacts how you can collect payment from patients. What is your process for making sure you comply with the law?

This question is a great way to see how the candidate will handle compliance with regulations. It’s important for medical billers to understand and follow all laws that affect their work, so it’s helpful if you can find out what steps they take to ensure they’re compliant.

Example: “I’m familiar with this law because I worked at my previous job when it was implemented. We had to make sure we were following the new rules by January 1st of last year, so our department held an educational seminar on the topic. The presenter explained the basics of the law and gave us some tips for making sure we complied. After the presentation, we discussed any questions or concerns we had about the law.”

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