Learn More. The Peer-to-Peer request must be received by Maryland Amerigroup maryland prior authorization Care within two 2 business days of the initial notification of the denial. The intent of the Peer-to-Peer is to discuss the denial decision with the ordering clinician or attending physician. For specific details prioe authorization requirements, please refer to our Quick Reference Guide. Certain carefirst mental providers require prior authorization regardless of place of service.
Again, don't be specific. By asking this question, your interviewer hopes to learn whether you can communicate effectively, address issues in the workplace and motivate others during difficult times. Giving negative feedback requires honesty, thoughtfulness and tact. Answering this question well can help show an interviewer that you would be a good fit for a managerial position or a position that involves working closely with others.
Don't vent or focus on the negative with brutally honest answers such as "My boss was a jerk," or "The company culture was too politically correct," or "They just weren't giving me the opportunity to take my career to the next level. Try not to be too critical when answering this question. Instead, pick one of your weaknesses and try to turn it into a positive. For example, you could be a perfectionist, which means that you sometimes take longer on tasks, but you make sure that they are completed to a high quality.
A great way to do so is by using the S-T-A-R method: Set up the situation and the task that you were required to complete to provide the interviewer with background context e. You always want to make sure that you're pretty familiar with the company that you're interviewing with. Nothing looks worse than a candidate who knows nothing about the company they say they're interested in working for. Find out everything you can about the company, its culture and its goals.
You will also want to know how the company is positioned in its market as well as who its major competitors are. Conflict resolution, problem solving, communication and coping under pressure are transferable skills desired by many employers At Highmark. Answering this question right can help you demonstrate all of these traits. Be sure to discuss a very specific example. Tell the interviewer what methods you used to solve the problem without focusing on the details of the problem.
Another seemingly innocuous interview question, this is actually a perfect opportunity to stand out and show your passion for and connection to the company and for job At Highmark. For example, if you found out about the gig through a friend or professional contact, name drop that person, then share why you were so excited about it. If you discovered the company through an event or article, share that. Even if you found the listing through a random job board, share what, specifically, caught your eye about the role.
The idea behind them is that past responses to situations are the best predictor of how candidates will respond in the future. Tell me about a time you faced a conflict while working as part of a team. Talk about a goal you set for yourself. What did you do to make sure you met the goal? Give an example of a time when you had to work with someone with a very different personality from yours. Talk about a time when you had problems building a relationship with a key team member.
What did you do? Tell me about an instance when it was important to make a great impression on a client. Tell me about a situation where you had to work with a difficult client.
Tell me about a situation where you disappointed a client, and how you tried to fix it. Talk about a time when you had to strategize to meet all your obligations. Talk about a time when you failed at something. How did you react? Talk about a time you took on a leadership role. Tell me about a long-term project you oversaw. How did you keep it focused and on schedule? Talk about a time when you were under a lot of stress. What caused it, and how did you manage? Do you prefer to work alone or with others At Highmark?
Tell me about a time when you were overwhelmed by the amount of work on your agenda. How did you handle it? Ideally the same things that this position has to offer. Be specific. When answering this question, discuss situations where you completed tasks benefitting your previous employers.
An important part of research before the interview is what the company does and how the job role relates to that. This includes the company philosophy and working methods. Questions such as this seek to find out how a candidate will fit into the organisation At Highmark. Answer positively; including practical examples of how you anticipate you would perform in the new role. This question seems simple, so many people fail to prepare for it, but it's crucial.
Here's the deal: Don't give your complete employment or personal history At Highmark. Start off with the specific accomplishments or experiences that you most want the interviewer to know about, then wrap up talking about how that prior experience has positioned you for this specific role. You'll want to be prepare with some very specific examples of what you've done over the last year and what you're currently doing to improve your professional knowledge and skill set as well as anything else you're doing the shows self improvement.
Of course you're a team player - who isn't. But a simple yes probably isn't the response the interviewer is looking for. Be ready to provide specific example of how you've worked as part of a cohesive team to get things accomplished and how you've focus on team performance rather than individual performance. Important Legal Information: Doctor Match is intended to help patients choose a health care provider and is not guaranteed as being definitive.
Doctor Match is not a guarantee of patient volume, payment, or that a service will be covered. Completion of the Doctor Match questionnaire is voluntary; however, if you choose to complete it, your answers must be true and correct. The Doctor Match questionnaire is Highmark confidential and proprietary and is not permitted to be distributed. Learn more. Are You the Right Match? How It Works You take a quick online survey to answer questions about your treatment philosophy and communication style.
Doctor Match will help you: Grow your practice to include more like-minded patients. Develop fulfilling, long-term professional relationships with your patients. Provide better experiences so your patients rate you higher in satisfaction surveys.
What qualifications are needed to serve as an instructor for a Successful Business Principles course? In what languages are the materials available? What about training for those who want to start a business? Describe the Successful Business Principles course. Supply requested information and Submit. A Successful Business Principles course will normally have participants.
To promote the opportunity for ready access to instructors, HighMark desires to maintain a ratio of not more than five participants for each instructor. The SBP course has been especially designed to meet the needs of the managing director of a for-profit enterprise with employees.
Therefore, the greater or higher the level of responsibility in the company, the greater the benefit to a participant. The enterprise from which a participant comes should have no fewer than six employees, and in some cases this minimum number of employees will be set higher. To serve as an Instructor you must have at least eight years of managerial experience in an American for-profit business and be fluent in English. Demonstrate an analysis you did that truly made an impact for the business.
Many people might not understand why the area of billing and medical coding are important and the interviewer wants to ensure you aren't just looking for your next job, but you genuinely care about the impact your role can make for your clients on the receiving end who work directly with patients. Talk about the importance of your work. Highmark Inc. This is nobody's favorite part of the job, but it is really important that the company collect the cash owed to them.
Describe how you've kept your cool with difficult customers in the past. The interviewer would like to know if you are capable of taking on more work, outside your normal job responsibilities and can flex higher level skills. The project doesn't need to be huge in scope, but make sure to highlight what you did, as opposed to using the words WE. The interviewer wants to make sure you fit with Highmark Inc.
Highlight examples were you went that extra step without being asked. Problem-solving and dispute resolution are critical skills to possess. Display to the interviewer that you are capable of problem-solving within the workplace. Talk about a time when you were creative, proactive, and displayed the leadership qualities required to resolve a workplace issue.
The interview wants to know that you are scalable within the organization and can grow to a higher level role in the future. Discuss a time when you solved a problem before your manager knew it existed or when you anticipated a need within the business. It's always a great idea to research the company before your interview.
You want to get to know their care philosophy so that your answer can reflect what is important to them. What is the core of your care philosophy? Keep your answer concise yet sincere. The interviewer would like to dig deeper into your true areas of interest when it comes to the health care industry.
They want to know that your passions align well with what UnitedHealth Group is offering. Talk to the interviewer about the areas of health care you would like to focus on most, and then tie that information in with what the position at UnitedHealth Group would be offering you.
The interviewer wants to know if you can take criticism without getting your feelings hurt. In today's workplace, you can't be afraid to give or receive criticism. It is ok to be candid, but show your future employer that you heard the feedback and did something about it. Take a few minutes to walk the interviewer through your formal post-secondary education as well as any on the job training. Talk about your most positive take-away's from your post-secondary experience and be sure to tie in how that experience will help you succeed in this position.
Most companies are trying to work smarter, not harder. What are some ways, even simple ways you've been able to innovate in your work environment? The interviewer wants a glimpse into your passion outside of work, but also your savvy as a small business owner working with your own budget. It is ok to be creative with this answer. At Highmark Inc. The interviewer wants to know if you can effectively resolve their questions while building a relationship.
When you start a new position, it is essential to set a goal on how you will make a positive impact quickly after being hired. Tell the interviewer what your impact goal is, should you be the successful candidate. If you want to make an impact with your answer, refer to the immediate needs of the company such as creating efficiencies, or updating technology. However, while physicians are smart, many are not familiar with the platform and don't know about new technologies.
Explain how you have been effective in communicating technical info so they can understand it. You have to make very difficult decisions in the health insurance industry and some of them don't feel great when you have a patient who is impacted. Ensure the interviewer knows you can handle a difficult situation and do your job effectively. The interviewer is looking to see how you add value through the sales process to prospective clients.
Gone are the days of calling around and fishing for information. You can find most of what you need online and you need to be prepared so that the door doesn't slam in your face. The interviewer wants to make sure you are comfortable giving feedback to others, even if you aren't a supervisor. Demonstrate that you are confident in delivering a feedback message to others.
All private health insurance companies are vying for the business. If a competitor has a product that could impact the business, you need to know. Likewise, if a competitor is struggling, you might be able to create an advantage for Highmark Inc.. In the US, everybody knows that health care is expensive. Eventually, innovative minds will come together to find a better solution. In the meantime, tell the interviewer about a new idea you've had that impacted your department and the business.
Internal employees are expecting complete transparency when working with Highmark Inc.. The modern job seeker knows that employers make mistakes and are likely to forgive mistakes as long as there is transparency and ownership. Be sure to check out our other company interview question sets. Interview Questions. This company typically hires for the following careers, use these career-focused practice sets to help you win your interview.
If you want to ace your upcoming interview, practice with our topical-based interview question sets. Aptitude Tests. How to Answer Talk to the interviewer about the ways that you ensure accuracy and organization in your day to day activities. Community Answer "I'm a very detailed person who makes use of platforms like google docs, PowerPoint, and excel to keep information organized. User-Submitted Answer "I'm a very detailed person who makes use of platforms like google docs, PowerPoint, and excel to keep information organized.
What inspired you to apply for this position at Highmark? How to Answer The interviewer is looking to hear what in particular, has led you to apply. The health industry is strongly influenced by changing legislation. How do you stay current with new rules and regulations that impact our industry?
How to Answer The interviewer wants to make sure you are staying up to date with changing regulations and that you are motivated to do so. We work with patients and customers who are confused or upset about their medical insurance. Tell me about a time you had to teach and train an upset customer. How did you handle the situation and what was the outcome? How to Answer Health insurance can be very complex to the average person and the interviewer wants to know if you can handle a person who is very upset.
Upgrade Now. At Highmark, we deal with confidential patient data. At Highmark, we've invested in the latest technology to create efficient work flows. Tell me how you've gone about learning new technology in the past? How to Answer In health care, technology is changing rapidly. At Highmark, we do a lot of community education trying to help the people in our local communities understand their health insurance.
Tell me about outreach you have done in the community in your previous role. How to Answer The interviewer wants to make sure you are comfortable presenting information in public. How would you set yourself up for success at your home office? How to Answer The interviewer wants to see that you have a plan in how you will work from home successfully. At Highmark, we have large patient data sets we need to analyze. Tell me about a large data set you had to analyze and how you added value through your analysis.
How to Answer Data analysis is becoming a critical part of any role. To work at Highmark, you have to be really passionate about compliance and accuracy. Tell me why this is important to you.
How to Answer Many people might not understand why the area of billing and medical coding are important and the interviewer wants to ensure you aren't just looking for your next job, but you genuinely care about the impact your role can make for your clients on the receiving end who work directly with patients. This role requires patient collection, so you might have to have difficult conversations. Tell me about a difficult conversation you've had with a patient or customer.
How to Answer Highmark Inc. Many of our jobs at Highmark require us to do projects when there is down time. Can you give an example of a project you led start to finish? How to Answer The interviewer would like to know if you are capable of taking on more work, outside your normal job responsibilities and can flex higher level skills.
Our goal is to hire people who are very ambitious. Tell me about a time you went the extra mile, even when it may not have been required or asked of you. How to Answer The interviewer wants to make sure you fit with Highmark Inc. Highmark, seeks to hire those with strong problem solving skills. When were you able to successfully resolve a problem in the workplace? How to Answer Problem-solving and dispute resolution are critical skills to possess. We want to hire people who can grow within our company.
When have you stretched yourself in your current role and done more than what was expected of you? How to Answer The interview wants to know that you are scalable within the organization and can grow to a higher level role in the future.
What is your patient care philosophy or customer care philosophy if coming from different industry? How to Answer It's always a great idea to research the company before your interview. If you could expand your knowledge and expertise in any area of the health plan space, which would you choose? How to Answer The interviewer would like to dig deeper into your true areas of interest when it comes to the health care industry.
At Highmark, we believe in continuous feedback. Tell me about a time you received constructive feedback. What did you do after hearing this? How to Answer The interviewer wants to know if you can take criticism without getting your feelings hurt.
WebOct 17, аи Why Highmark Wholecare Why Highmark Wholecare dropdown expander Why Highmark Wholecare dropdown expander; Picking a Plan Finding a Medicare Plan . WebHighmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of . WebJun 9, аи Highmark Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Choice Company, Highmark Senior Health Company, .