10-Minute Medical Billing Interview Practice | Real Q&A Session with Batch 05 Student | Mock Session — Transcript

Full transcript

1. 0:03Asalam everyone welcome to my YouTube
2. 0:05channel Mville Pro. I hope you guys will
3. 0:07be fine and doing great and enjoying
4. 0:08good lives. So as I have already
5. 0:10mentioned in my previous uh uploaded uh
6. 0:13mock interview that we will be uploading
7. 0:15the top five uh one of the good ones u
8. 0:18mock interviews on my YouTube channel.
9. 0:20So this is the second one that is going
10. 0:22to be with an piracha. So he just
11. 0:25answered the questions in a good way.
12. 0:26have although he didn't know what is
13. 0:28medical billing in the start because he
14. 0:30was completely uh unaware of this kind
15. 0:32of field but he have little bit
16. 0:34information but now alhamdulillah he's
17. 0:35going to have a good information okay I
18. 0:38also know me get the reviews and the
19. 0:40feedback of the students as well at the
20. 0:42end of this uh interview so enjoy this
21. 0:44one and if you guys have want to just
22. 0:46learn this kind of a medical billing
23. 0:48field then the sixth batch is just
24. 0:49started okay so basically we have just
25. 0:52started the registration okay so the
26. 0:54starting date of that sixth batch is
27. 0:55going to form from 21st of November. So
28. 0:59don't delay, apply today. If you want to
29. 1:01learn this medical billing skill in a
30. 1:02good way, then this is a good
31. 1:04opportunity for you guys. So you guys
32. 1:05can just enroll in this one and can
33. 1:07enjoy this one. Okay. So without wasting
34. 1:10time, I'm just going to share the
35. 1:11interview with you guys. So enjoy it.
36. 1:13Perfect. So how are you doing today?
37. 1:17>> I'm doing good, sir. How about you?
38. 1:20>> I am also doing good. Thank you so much
39. 1:22for asking. Okay. Uh so we can start the
40. 1:26interview and it's being recorded as
41. 1:28well. So first of all can you please
42. 1:30introduce yourself?
43. 1:33Uh my name is Unim and currently I am a
44. 1:36law student and uh I I am I have worked
45. 1:40in customer representative as well as an
46. 1:43appointment setter for a multinational
47. 1:44US-based company and in the past I have
48. 1:47some experience working uh for a medical
49. 1:50billing company which is of our
50. 1:52relatives and uh I I have learned a bit
51. 1:55about uh AR uh and as well as medical
52. 1:59coding a bit of that not much but I was
53. 2:02interested in medical billing and that's
54. 2:03why I took the course and uh
55. 2:05alhamdulillah I have a hands-on grip on
56. 2:08how what a revenue cycle management is
57. 2:10and what is uh erra ehr and uh
58. 2:15electronic remittance advice how who it
59. 2:17is sent to and I I know that from your
60. 2:19practical martial video as well I have a
61. 2:22hands-on uh experience on how that
62. 2:25software works as well and how the
63. 2:26building is processed through that
64. 2:29>> okay perfect so basically my next
65. 2:31question to you was that what basically
66. 2:33thing motivated you to join medical
67. 2:35billing but you have already described
68. 2:36that one.
69. 2:37>> So I hope you have learned a lot
70. 2:39hopefully uh basically what for what
71. 2:41kind of a reason you just joined this
72. 2:43one so you have just got that one in
73. 2:44this one.
74. 2:46>> Okay quite nice uh so we can move to our
75. 2:49uh basic course questions. So first of
76. 2:51all can you please let me know uh what
77. 2:53is medical billing and medical coding?
78. 2:55What are the basic differences between
79. 2:57these two?
80. 2:59Medical billing is just the process of
81. 3:01translating healthcare services into a
82. 3:03medical code which is a centralized code
83. 3:06and uh it it is used for uh claim
84. 3:10submission to the insurance payers and
85. 3:13uh that is the whole process of medical
86. 3:14billing and medical coding exactly is
87. 3:17when a service is rendered or like we
88. 3:19have different codes ICD code CPT codes
89. 3:21Hickpis and it's about uh if if there's
90. 3:24some instrument used then Hickpis codes
91. 3:27will be used for that and if it if it's
92. 3:30uh uh what disease it was that would be
93. 3:32international classification of diseases
94. 3:34ICD codes and CPD codes and this is just
95. 3:36and we use modifiers to combine these
96. 3:38things so uh that the payers can
97. 3:42understand uh that it is all seamlessly
98. 3:45in one place and uh the codes are uh
99. 3:48easier to be processed for the payments
100. 3:50to the provider.
101. 3:51>> Okay. Okay. Perfect. That's quite well.
102. 3:54Okay. So my next question to you is that
103. 3:56uh can you please let me know uh what is
104. 3:59a clearing house in medical billing?
105. 4:03Uh clearing house is when when you uh
106. 4:06submit uh a claim to an insurance. It is
107. 4:10uh a clearing house system is used for
108. 4:13filtering out basically any issues like
109. 4:15if there's a change in format then
110. 4:17clearing house will translate that
111. 4:19format and uh cleaning house is just
112. 4:22used for those kind of uh verification
113. 4:24basically so that there are no issues in
114. 4:27the uh claims that are submitted.
115. 4:30>> Mhm. Quite well. Okay. Fair enough.
116. 4:32Hopefully that was clear enough.
117. 4:34>> Yeah, you just got the clear idea about
118. 4:35that one. Okay, so we can move to the
119. 4:38next question. So that is going to be
120. 4:39can you please let me know uh what is
121. 4:42the basically insurance verification?
122. 4:47>> Insurance verification right? So
123. 4:49insurance verification is the first step
124. 4:51when uh we are registering or we are
125. 4:54scheduling an appointment for a patient
126. 4:56to the provider. Uh insurance
127. 4:58verification is the most important
128. 5:01crucial step to uh to understand if the
129. 5:05insurance is under the same provider as
130. 5:07uh sorry under the same patient and the
131. 5:09services are rendered from the same
132. 5:11provider that the patient is uh booking
133. 5:13an appointment for and uh we check the
134. 5:16numbers for that uh I I believe they're
135. 5:18like uh insurance verification numbers
136. 5:20basically and there all the patient
137. 5:22social security numbers if it's matching
138. 5:23with the insurance so that there are no
139. 5:25problems later on after the services are
140. 5:28rendered because the services the
141. 5:29providers are providing they're quite
142. 5:31expensive so we have to make sure that
143. 5:33uh the insurance is going to pay for it.
144. 5:35Yeah, quite well. Perfect. Okay, so next
145. 5:38question to you is that can you please
146. 5:40let me know what is the basic difference
147. 5:41between in network provider and out of
148. 5:43network provider?
149. 5:46All right. So in network providers are
150. 5:49basically if there's this insurance
151. 5:50company that has uh like Medicare and
152. 5:53Medicaid insurance company that is
153. 5:55working directly with that. So those uh
154. 5:58providers that fall with the insurance
155. 6:02company they are like contract to they
156. 6:05are in network
157. 6:10with the contract obligations allowed
158. 6:19amount
159. 6:21of network
160. 6:24insurance
161. 6:31it's not linked with that insurance so
162. 6:33it will be out of network and the
163. 6:35charges will be more hence
164. 6:37>> means they don't have any any kind of a
165. 6:39specific agreement with that specific
166. 6:41insurance
167. 6:42>> yes yes
168. 6:43>> okay perfect got it okay so second last
169. 6:46question to you is that uh can you
170. 6:47please let me know uh what are the
171. 6:49co-ayments and deductibles in medical
172. 6:51billing
173. 6:54Okay. So, deductibles are the amount
174. 6:56which is uh required by the patient to
175. 6:58pay before the insurance start covering.
176. 7:00And uh sorry, the next one you asked was
177. 7:03uh co-ay or
178. 7:04>> co-ay or co-ayments?
179. 7:05>> Copay. Yeah,
180. 7:07>> co-ayments. Yeah, co-ayments are
181. 7:09basically the fixed amount that a
182. 7:10patient has to pay when they come for
183. 7:12the uh services that they need.
184. 7:15>> Right. Okay. Got it.
185. 7:16>> And then co- insurance is just the which
186. 7:18some person that have to pay.
187. 7:20>> Okay. Very well. So I can ask you a very
188. 7:24very tough question. So can you please
189. 7:25let me know what is the abbreviation of
190. 7:28HIPPA?
191. 7:30>> HIPPA is held uh health international uh
192. 7:37health.
193. 7:37>> I thought it was quite you know quite
194. 7:39easy but I just said it's a tough
195. 7:41question and you are making it tough.
196. 7:45Yes. Whenever I prepare for something
197. 7:48easy,
198. 7:50I know what was uh it's just kept out of
199. 7:54my mind. I'm really sorry.
200. 7:56>> Okay, no problem. That's basically
201. 7:58Health Insurance, Portability and
202. 7:59Accountability Act.
203. 8:01>> Accountability Act. Yes.
204. 8:04>> Okay. No worries. So overall it was
205. 8:06quite well and quite good. You just
206. 8:07answered in a good way. So I'm really
207. 8:10impressed. And one more thing I just
208. 8:12need to get some uh feedback regarding
209. 8:14our medical billing course. So how was
210. 8:15your basically journey about our
211. 8:17complete uh medical billing course
212. 8:21sir? It was amazing actually.
213. 8:27It's really great to talk to you person
214. 8:29to person. It's been amazing
215. 8:33and you put your effort into each
216. 8:35student and you answer each queries
217. 8:36afterwards as well
218. 8:39afterwards discussion
219. 8:43that was like
220. 8:46throughout and your practical sessions
221. 8:48like I went through the website portal
222. 8:50as well EHR
223. 8:53it was like hands on experience it feels
224. 8:55like
225. 8:59was not just a course even
226. 9:02felt like
227. 9:13students
228. 9:16No problem at all. So that is my
229. 9:18basically responsibility to deliver
230. 9:19everything which I have which I know so
231. 9:22in my best way. So that's what I did and
232. 9:25thank you so much for your kind words as
233. 9:27well and best of luck for your tomorrow
234. 9:29test. So I hope you will do good in that
235. 9:31one and inshallah I will get back to you
236. 9:34guys about your final assessment marks
237. 9:36because you guys have just submitted
238. 9:37your assignments and I need to review
239. 9:39all them and after that we have to come
240. 9:42together and we have to aggregate all
241. 9:43that kind of a stuff. Okay, thank you so
242. 9:45much for your time. Really appreciate it
243. 9:47and have a
244. 9:48>> no problem.
245. 9:49>> I just felt good with you. Thank you so
246. 9:50much.
247. 9:52>> No problem sir. Have a great day. Thank
248. 9:54you much. Take care. Allah office.