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Medical Biller Interview Questions

Edited by Indeed Employer Content Team
Last updated 26 September 2025
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Indeed’s Employer Resource Library helps businesses grow and manage their workforce. With over 15,000 articles in 6 languages, we offer tactical advice, how-tos and best practices to help businesses hire and retain great employees.

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8 min read

A Medical Biller, or Medical Billing Specialist, manages financial processes and reconciles payments in healthcare settings. Their duties include processing invoices and insurance claims, reconciling accounts and ensuring compliance with coding standards.

Whether you are preparing to interview a candidate or applying for a job, review our list of top Medical Biller interview questions and answers.

  1. Which medical billing systems have you used, and can you tell us about your experience with them? See answer
  2. How do you make sure that patient records are accurate and updated before invoicing? See answer
  3. How do you handle claim denials or rejections? See answer
  4. Can you describe your experience with processing patient accounts, payments and reconciliations? See answer
  5. How do you explain billing issues to patients who may not be familiar with medical terminology? See answer
  6. How do you stay up to date with changes to billing rules, coding standards or government regulations? See answer
  7. What methods do you use to stay organised at work? See answer
  8. How do you handle confidential patient information to make sure you meet GDPR requirements? See answer
  9. Could you provide an example of a time you helped to reduce billing errors or improve turnaround times? See answer
  10. How do you manage deadlines and pressure during busy billing periods? See answer
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10 Medical Biller Interview Questions and Answers

Which medical billing systems have you used, and can you tell us about your experience with them?

This is a strong opening question as it quickly shows whether the candidate’s technical background aligns with your workplace systems. It can also reveal the depth and diversity of their experience, their adaptability to change and how rapidly they can master new technologies. What to look for in an answer:

  • Experience with widely used billing systems
  • Evidence of troubleshooting expertise or training others on systems
  • Familiarity with tasks like generating reports or analytics data
Example:

"In my last job, I mainly worked with Civica for billing tasks. I became confident in generating invoices, tracking payments and producing monthly financial reports. I also had to learn a new claims process when the practice upgraded their system. I adapted quickly and was able to help several of my colleagues navigate the changes."

 
 
 

How do you make sure that patient records are accurate and updated before invoicing?

Accurate and up-to-date patient records are essential to preventing delays, insurance claim rejections or disputes. They also help protect the reputation of your organisation. This question helps you gauge how detail-orientated a candidate is and whether they understand the importance of carefully checking all relevant information before issuing invoices. What to look for in an answer:

  • An established system for cross-checking patient and procedure information
  • A willingness to collaborate with other staff to confirm treatment or patient details
  • Accountability for the accuracy of records and invoices
Example:

"When I start a new job, I typically create a checklist to follow before invoicing. This usually includes cross-checking patient records against appointment notes and treatment codes. If anything is unclear, I check the information directly with the clinician or another relevant staff member. At my last practice, the approach I introduced reduced invoice rejections by 15%."

How do you handle claim denials or rejections?

This question is most relevant in private healthcare institutions where managing claim denials is a key part of revenue recovery. The candidate’s response can demonstrate their understanding of the appeals process, their persistence in securing payment and their overall problem-solving skills when dealing with complex issues. What to look for in an answer:

  • Familiarity with denial codes and reasons for rejection
  • Proactive follow-up with insurers or administrators
  • Professional persistence in problem resolution
Example:

"If a claim is rejected, I’d start by reviewing the denial code to check whether the error is in coding or documentation. If it’s something I can fix, I’ll correct it and resubmit within 48 hours. If clarification is needed, I contact the insurer directly. This is the process I used to recover over 90% of denied claims at my previous practice."

Can you describe your experience with processing patient accounts, payments and reconciliations?

This is a broad question that assesses a candidate’s practical experience in handling day-to-day financial tasks. A detailed answer here can provide insight into the interviewee’s understanding of accuracy, their attention to detail and the ways they ensure that patient balances and payments are correctly managed. What to look for in an answer:

  • Experience with accounts receivable processes
  • Ability to resolve discrepancies quickly
  • Familiarity with using accounting or billing software
Example:

"A core aspect of my last job was posting patient payments, reconciling bank deposits and balancing ledgers. I used Xero to cross-check payments against invoices and insurance claims. I also worked closely with the finance team to resolve discrepancies. This helped us maintain a 98% reconciliation accuracy rate and reduced the previous delays in our month-end reporting."

How do you explain billing issues to patients who may not be familiar with medical terminology?

This question probes a candidate’s communication style while also giving an indication of their customer service skills. It is always important for your organisation to ensure that any patient concerns are addressed sensitively and comprehensively. This question can also reveal how candidates balance professionalism and empathy. What to look for in an answer:

  • Ability to translate technical terms into plain language
  • Patience and empathy when explaining charges
  • Experience in resolving disputes with positive outcomes
Example:

"I generally try to avoid using technical terms when talking to patients. Instead, I explain charges step by step, using everyday language. For example, 'This is the fee for your consultation, and this amount is what the insurer covers,' rather than quoting codes. If patients prefer a written summary, I offer that too. This approach has helped me resolve any disputes quickly."

How do you stay up to date with changes to billing rules, coding standards or government regulations?

Billing regulations and coding rules can change frequently, so it’s important to know whether candidates understand the importance of continuous learning in fast-moving fields like healthcare. Their answer can indicate initiative and commitment to compliance. What to look for in an answer:

  • Subscriptions to reliable healthcare industry updates
  • Attendance at workshops, training or CPD courses
  • Proactive attitude toward compliance responsibilities
Example:

"I subscribe to NHS England updates and follow several online forums for the healthcare industry. I also make sure to attend workshops on coding or billing compliance periodically. When updates were rolled out at my previous workplace, I familiarised myself with them first, then created a quick reference guide for my team to help make the transition smoother for everyone."

What methods do you use to stay organised at work?

Medical billing typically requires a high level of organisation. This question can help indicate whether a candidate copes well when varied tasks are competing for their attention. A strong answer here shows how they structure their workload and decide what to prioritise. What to look for in an answer:

  • Use of digital tools or systems to track workload
  • Structured daily or weekly routines
  • Evidence of consistency and accuracy when under pressure
Example:

"I like to use a combination of digital task lists and reminders to stay on top of my workload and meet deadlines. To help me know what to prioritise and make sure nothing slips through the cracks, I categorise claims by urgency and set aside dedicated time for follow-ups. I also maintain a shared spreadsheet so my team can see the status of all accounts."

How do you handle confidential patient information to make sure you meet GDPR requirements?

Protecting patient confidentiality is a fundamental part of being a Medical Biller, as Medical Billers typically handle large amounts of sensitive patient information. This question helps you evaluate whether candidates fully understand GDPR rules and their responsibility in safeguarding records. A strong response here shows awareness of both everyday practices and broader compliance measures. What to look for in an answer:

  • Understanding of GDPR principles and application
  • Previous experience using secure systems and access controls
  • Habits like locking screens and avoiding unsecured channels
Example:

"I take data security and privacy very seriously. I always lock my screen when I’m away from my desk and avoid discussing patient details in public areas. In my previous job, I followed our organisation’s data retention policy strictly, and on one occasion, I flagged a colleague’s accidental email error so that we could report it immediately as per GDPR guidance."

Could you provide an example of a time you helped to reduce billing errors or improve turnaround times?

This question focuses on measurable impact and what the candidate could bring to your organisation based on how they’ve improved billing outcomes in the past. In a crowded application field, this could be a deciding factor. Look for examples of taking initiative and producing tangible results or long-term improvements. What to look for in an answer:

  • Tangible outcomes in reducing errors or payment delays
  • Collaboration with colleagues to make improvements
  • Examples of efficiency gains recognised by past managers
Example:

"At a previous practice, I noticed that we were making repeated errors with one type of claim. I suggested adding a verification step before submission and communicated this with the team. Within two months, claim errors dropped by 20%, and our turnaround times improved by a week on average. This was recognised by management as a significant improvement."

How do you manage deadlines and pressure during busy billing periods?

Billing often involves periods of high activity, particularly at the end of the month or the close of the financial year. Knowing that your employees can perform well under pressure and manage their time effectively can bring peace of mind. Look for answers that show planning, prioritisation and resilience when workloads increase. What to look for in an answer:

  • Time management and planning strategies
  • Evidence of meeting deadlines consistently
  • Ability to stay calm and methodical in stressful times
Example:

"I try to plan ahead by identifying high-priority claims early on. During busy periods, I break tasks into smaller steps, set realistic targets for each day and communicate with my colleagues or management if I need support. At my last job, this approach helped me consistently meet deadlines during peak periods."

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