dental biller Interview Questions and Answers

1. What is your experience with dental billing and coding?

   • Answer: I have [Number] years of experience in dental billing and coding, working with [Software used, e.g., Dentrix, Eaglesoft]. My experience includes processing claims, managing patient accounts, handling denials and appeals, and staying current with changes in coding and regulations (e.g., CDT codes, HIPAA compliance).

2. Explain your understanding of the CDT coding system.

   • Answer: The Current Dental Terminology (CDT) coding system is a standardized nomenclature used to describe dental procedures and services. I understand how to accurately select and apply these codes to ensure accurate billing and reimbursement. I am familiar with the different sections of the CDT code set and how to interpret modifiers as needed.

3. How familiar are you with HIPAA regulations?

   • Answer: I am very familiar with HIPAA regulations and understand the importance of patient privacy and data security. My experience includes [Specific examples, e.g., adhering to privacy protocols, securing electronic health records, understanding patient consent requirements].

4. Describe your experience with insurance claim submissions.

   • Answer: I have extensive experience submitting insurance claims electronically and via mail. I am proficient in [Specific software or methods used, e.g., using clearinghouses, direct submission to payers]. I know how to follow up on claims, identify and resolve denials, and ensure timely payment.

5. How do you handle insurance denials?

   • Answer: I systematically analyze each denial to identify the reason for rejection. This involves reviewing the claim for coding errors, missing information, or benefit issues. I then take appropriate action, such as correcting the claim, submitting an appeal, or contacting the insurance provider for clarification. I maintain detailed records of all denial resolution efforts.

6. What is your experience with patient billing and collections?

   • Answer: I have experience in generating patient statements, managing accounts receivable, and pursuing outstanding payments. This includes [Specific examples, e.g., explaining billing statements to patients, establishing payment plans, utilizing collection agencies when necessary, following Fair Debt Collection Practices Act (FDCPA) guidelines].

7. How do you stay updated on changes in dental billing and coding?

   • Answer: I stay updated through [Specific methods, e.g., professional organizations like the ADA, continuing education courses, industry publications, online resources]. I actively monitor changes in CDT codes, insurance regulations, and payer policies.

8. What software programs are you proficient in?

   • Answer: I am proficient in [List software, e.g., Dentrix, Eaglesoft, Easy Dental, other practice management software, Microsoft Office Suite].

9. Describe your experience with electronic claims submission.

   • Answer: I have extensive experience submitting claims electronically through [Specific clearinghouses or methods]. I understand the benefits of electronic submission, including faster processing and reduced errors. I am also familiar with various electronic claim formats.

10. How do you handle patient inquiries regarding their bills?

    • Answer: I handle patient inquiries with professionalism and patience. I clearly explain the billing process, address any concerns or misunderstandings, and provide solutions, such as payment plans or assistance with insurance claims. I strive to maintain positive patient relationships.

11. What is your experience with different insurance plans?

    • Answer: I have experience with [List specific insurance plans, e.g., Delta Dental, MetLife, Cigna, Medicaid, Medicare]. I understand the different coverage policies, claim submission procedures, and reimbursement rates for each plan.

12. How do you prioritize your tasks and manage your workload?

    • Answer: I use a combination of [Specific methods, e.g., task lists, prioritization matrices, time management techniques] to manage my workload effectively. I prioritize tasks based on urgency and importance, and I am adept at managing multiple priorities simultaneously.

13. Describe a time you had to deal with a challenging billing situation. How did you handle it?

    • Answer: [Describe a specific challenging situation, focusing on the problem, your approach to solving it, and the successful outcome. Highlight your problem-solving skills, attention to detail, and ability to remain calm under pressure].

14. What are your salary expectations?

    • Answer: Based on my experience and skills, my salary expectations are in the range of $[Range]. However, I am open to discussing this further based on the specifics of the position and the overall compensation package.

15. Why are you interested in this position?

    • Answer: I am interested in this position because [Explain your reasons, relating them to the job description and company values. Highlight your skills and how they align with the role's requirements].

16. What are your strengths?

    • Answer: My key strengths include [List 3-5 strengths, providing specific examples to support each one. Focus on strengths relevant to the job description, such as attention to detail, organizational skills, problem-solving, communication, and teamwork].

17. What are your weaknesses?

    • Answer: [Choose a genuine weakness, but frame it positively. Focus on how you are working to improve upon it. For example: "I sometimes struggle with delegating tasks, but I am actively working on improving my delegation skills to better manage my workload and empower my colleagues."]

18. Why did you leave your previous job?

    • Answer: [Answer honestly, but focus on positive aspects. Avoid speaking negatively about your former employer. For example: "I am looking for a new challenge with greater opportunities for growth and development." or "I am seeking a position in a larger practice with a more robust billing system."]

19. Where do you see yourself in five years?

    • Answer: In five years, I see myself as a valuable and experienced member of your billing team, potentially taking on more responsibilities and contributing to the overall success of the practice. I am also keen on continuing my professional development in dental billing and coding.

Thank you for reading our blog post on 'dental biller Interview Questions and Answers'.We hope you found it informative and useful.Stay tuned for more insightful content!