Can you commit to mutually agreed to work schedule.

Can you be on time every workday, without ANY excuses.

This is for online virtual meetings/trainings. Can you make that happen?

There is no travel needed so transport is not needed.

In next 12 months, what do you want to be doing

Claim denied as CO 16, missing info. Provider insists everything was sent. What do you do first, second, third

Claim denied for eligibility. Patient says they had active coverage.
Explain how you verify benefits, what proof you collect, and how you correct and resubmit.

Claim denied for missing prior authorization. Clinic says they obtained it. Walk through how you confirm authorization, attach proof, and appeal or correct.

Denied for medical necessity. Notes exist, payer policy is strict.
Describe how you build the appeal. Include what you ask for and how you structure the argument.

Denied for timely filing. Clinic says they submitted on time. Explain what proof you request, how you reopen, and your escalation path.

Denied as duplicate. Clinic believes this is a separate service. Walk through how you confirm, what you compare, and how you correct and resubmit.

Denied due to coding edits or bundling. Describe your steps to review coding, collaborate with coder, and correct claim or appeal.

Claim paid, however allowed amount is too low versus contract expectation. Walk through how you verify contracted rate, document the variance, and dispute for underpayment.

Claim denied due to coordination of benefits. Patient has multiple coverages. Explain how you update insurance order, what forms you use, and how you resubmit.

A claim is 120 days old. Payer says processed, payment not received. Walk through your trace steps from start to finish, including payment research and reissue.

Payer recoups a payment and sends a recoupment notice. Practice is upset. Explain how you validate the recoupment, what you appeal, and how you protect cash flow.

Denials spike for one payer this month. Same denial reason repeating. Describe how you identify root cause, fix the upstream issue, and prevent repeats.

You inherit a worklist of 500 denials and 300 aged receivables.
Explain how you prioritize, what you tackle first, and how you report progress weekly.

Payer processes claim, patient responsibility is high. Patient disputes and refuses to pay. Explain how you review benefits, explain responsibility, and coordinate with patient billing.

You take over a messy denial and aged receivables desk. Notes are weak and statuses are unclear. Outline your first 7 day plan. Break it into Day 1, Days 2 to 3, Days 4 to 5, Days 6 to 7. Include quick wins and how you rebuild tracking.

Rate yourself from 1 to 10

How do you track your work daily

We require 3 professional references. Include LinkedIn links for each reference. Missing details means we will not review your application.