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Common denials in revenue cycle management include lack of pre-authorization, coding errors, timely filing limits, duplicate billing, and non-covered services.
Lack of pre-authorization for services
Coding errors leading to claim denials
Exceeding timely filing limits for claims submission
Duplicate billing for the same service
Services not covered by insurance
Common denials in operations include lack of documentation, incorrect coding, eligibility issues, timely filing limits, and duplicate claims.
Lack of documentation (e.g. missing or incomplete medical records)
Incorrect coding (e.g. using incorrect procedure or diagnosis codes)
Eligibility issues (e.g. patient not covered by insurance or policy limitations)
Timely filing limits (e.g. claims not submitted within specifi...
Key Result Areas (KRA's) of an auditor include evaluating financial statements, ensuring compliance with regulations, and identifying areas for improvement.
Evaluating financial statements to ensure accuracy and compliance
Ensuring compliance with regulations and internal policies
Identifying areas for improvement in processes and controls
Communicating findings and recommendations to management
Conducting risk assessm...
Focused sampling involves selecting specific areas or items for inspection based on predetermined criteria, while normal sampling involves randomly selecting items for inspection.
Focused sampling is used when specific areas or items need more attention or have higher risk
Normal sampling is used when all items have equal chance of being selected for inspection
Example of focused sampling: Inspecting high-risk compon...
DPU stands for Defects Per Unit and DPO stands for Defects Per Opportunity. They are key metrics used in quality management.
DPU measures the average number of defects in a product or process
DPO measures the average number of opportunities for defects in a product or process
DPU = Total number of defects / Total units produced
DPO = Total number of defects / Total opportunities for defects
Feedback should be constructive, specific, and delivered in a respectful manner.
Start with positive feedback before addressing areas for improvement
Be specific about what the user did well and what needs improvement
Use 'I' statements to avoid sounding accusatory
Provide actionable suggestions for improvement
Encourage open communication and ask for the user's perspective
Follow up to see if the feedback was helpful a...
Extract connection imports data into Tableau workbook while live connection directly connects to data source.
Extract connection creates a static snapshot of data in Tableau workbook.
Live connection directly queries data from the source in real-time.
Extract connection is useful for large datasets or when offline access is needed.
Live connection is beneficial for real-time data analysis and dynamic updates.
Example: ...
Implementing proactive measures and effective communication to minimize absenteeism impact on client delivery.
Implement a clear attendance policy with consequences for excessive absenteeism
Provide incentives for good attendance such as rewards or recognition
Cross-train team members to ensure coverage in case of absences
Encourage open communication between team members to facilitate shift swaps or coverage
Utilize t...
I have a strong software knowledge with expertise in various programming languages and tools.
Proficient in programming languages such as Java, Python, and C++
Experience with software development tools like Git, Jira, and Jenkins
Familiarity with database management systems such as MySQL and MongoDB
Knowledge of software design patterns and best practices
Ability to troubleshoot and debug complex software issues
A deposit is a sum of money placed in a bank account or given as security for a rental or purchase.
A deposit is a financial transaction where money is placed into a bank account.
It can also refer to a sum of money given as security for a rental property or purchase.
Deposits can be made in cash, check, or electronically.
Deposits are often required when opening a new bank account or renting an apartment.
Deposits can...
I joined this company because of its innovative approach to technology and strong company culture.
Innovative approach to technology
Strong company culture
Opportunities for growth and development
Common denial tactics used regularly
Deflection - shifting blame or responsibility onto someone or something else
Minimization - downplaying the significance or impact of a situation
Rationalization - providing seemingly logical reasons to justify behavior
Gaslighting - manipulating someone into questioning their own reality
Projection - attributing one's own negative traits or actions onto others
Our work culture is collaborative, innovative, and focused on continuous improvement.
Encourages open communication and teamwork
Values creativity and new ideas
Emphasizes learning and development opportunities
Promotes a healthy work-life balance
GK and medical billing
I applied via Referral and was interviewed in Jun 2024. There were 2 interview rounds.
DPU stands for Defects Per Unit and DPO stands for Defects Per Opportunity. They are key metrics used in quality management.
DPU measures the average number of defects in a product or process
DPO measures the average number of opportunities for defects in a product or process
DPU = Total number of defects / Total units produced
DPO = Total number of defects / Total opportunities for defects
Focused sampling involves selecting specific areas or items for inspection based on predetermined criteria, while normal sampling involves randomly selecting items for inspection.
Focused sampling is used when specific areas or items need more attention or have higher risk
Normal sampling is used when all items have equal chance of being selected for inspection
Example of focused sampling: Inspecting high-risk components ...
The 7 QC tools are basic tools used in quality control to analyze and solve problems.
Check sheet: Used to collect and organize data
Histogram: Represents data distribution visually
Pareto chart: Shows the most significant factors in a process
Cause and effect diagram (Fishbone diagram): Identifies root causes of a problem
Scatter diagram: Shows the relationship between two variables
Control chart: Monitors process performan...
Key Result Areas (KRA's) of an auditor include evaluating financial statements, ensuring compliance with regulations, and identifying areas for improvement.
Evaluating financial statements to ensure accuracy and compliance
Ensuring compliance with regulations and internal policies
Identifying areas for improvement in processes and controls
Communicating findings and recommendations to management
Conducting risk assessments ...
Feedback should be constructive, specific, and delivered in a respectful manner.
Start with positive feedback before addressing areas for improvement
Be specific about what the user did well and what needs improvement
Use 'I' statements to avoid sounding accusatory
Provide actionable suggestions for improvement
Encourage open communication and ask for the user's perspective
Follow up to see if the feedback was helpful and if...
The role of a quality auditor in addressing a user consistently making errors and not accepting them.
Provide additional training or resources to help the user improve their skills
Offer constructive feedback and guidance on how to avoid errors in the future
Implement a system for monitoring and tracking errors to identify patterns and areas for improvement
Encourage open communication and collaboration to address any unde...
I appeared for an interview in Apr 2025, where I was asked the following questions.
Managing stress in a professional setting involves proactive strategies like time management, communication, and self-care practices.
Time Management: Prioritizing tasks using tools like to-do lists or project management software to avoid last-minute rushes and reduce stress.
Open Communication: Regularly discussing workload and challenges with team members or supervisors to seek support and share responsibilities.
Mindfu...
In response to public criticism, I would remain calm, listen actively, and seek constructive feedback to improve my performance.
Stay Calm: I would take a deep breath and maintain my composure, as reacting emotionally could escalate the situation.
Listen Actively: I would focus on understanding the feedback being given, ensuring I grasp the points being made without interrupting.
Seek Clarification: If the feedback is unc...
I appeared for an interview in Apr 2025, where I was asked the following questions.
I appeared for an interview in Feb 2025, where I was asked the following questions.
I can assist my team and manager by fostering collaboration, providing support, and ensuring clear communication.
Encourage open communication: Regular check-ins to discuss progress and challenges.
Offer assistance: Help a team member with their workload during peak times, like reviewing their reports.
Provide constructive feedback: Share insights on a project to help improve outcomes, such as suggesting improvements in a...
Implementing measures to ensure a safe and respectful office environment is crucial for productivity and employee well-being.
Establish a clear code of conduct that outlines acceptable behavior and consequences for violations.
Implement regular training sessions on workplace ethics and harassment prevention.
Utilize surveillance cameras in common areas to deter inappropriate behavior.
Encourage an open-door policy for repo...
Tableau offers various types of filters including quick filters, context filters, and data source filters.
Quick filters allow users to easily filter data by selecting values from a list.
Context filters are applied before other filters, affecting the data visible to subsequent filters.
Data source filters limit the data available to Tableau by filtering data at the data source level.
Other types of filters include extract...
There are two types of refresh in Tableau: Extract Refresh and Data Source Refresh.
Extract Refresh: Refreshes the data in Tableau extract, which is a snapshot of data from the original data source.
Data Source Refresh: Refreshes the data directly from the original data source.
Examples: Extract Refresh is useful when working with large datasets to improve performance, while Data Source Refresh ensures real-time data upda...
Extract connection imports data into Tableau workbook while live connection directly connects to data source.
Extract connection creates a static snapshot of data in Tableau workbook.
Live connection directly queries data from the source in real-time.
Extract connection is useful for large datasets or when offline access is needed.
Live connection is beneficial for real-time data analysis and dynamic updates.
Example: Extra...
I applied via Walk-in and was interviewed in Sep 2024. There was 1 interview round.
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The duration of Pacific BPO interview process can vary, but typically it takes about less than 2 weeks to complete.
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