Anthem Mock Interview

Practice 35 Anthem interview questions covering healthcare operations, member advocacy, and regulatory knowledge.

WRITTEN BY KEVIN DOWNEY
QUESTION 5 OF 35

At Anthem, we deal with confidential patient data. Tell me about a time you followed HIPAA regulations even when it wasn't easy or convenient to do so.

The HIPAA privacy rules are paramount in the health insurance industry. The amount of patient data you have access to is overwhelming. Make sure you can show your understanding of the rules while displaying your integrity in upholding them.

"I was faxing over some patient data to a clinic. I didn't get a confirmation back, so I checked the fax number, and it was not correct and went to the wrong location. I could have just walked away and gone back to my desk, but not knowing who was on the receiving end of that data, I had to report the incident. I felt awful about it, but it was quickly resolved, and if I had said nothing, it could have escalated to a huge fine for the company. I'm an honest person, so I had to tell the truth."

"My neighbor got into a car accident a few weeks ago, and she told me that some of her claims had been denied. She begged me to go to work to see what I could find out. I had to tell her there was no way I could do that, and it was a huge HIPAA violation. I mentioned that she should call our Anthem call center and ask for Lynn, who I knew could help her. I was glad I could give her a person to call who could hopefully address her concerns."

Community answers are written by other candidates practicing this set. Reading how others frame the same question is one of the fastest ways to sharpen your own.

Anonymous Answer

I have had various situations where family members have reached out to me to discuss their family members' care. In order to discuss such information, the patient has to have listed them on the contact sheet in order to discuss information. It is challenging to explain to family members that I cannot talk with them since the patient has not identified them as an okay person. And sometimes it would be best to get family members involved to help the patient.

Stephanie's Feedback

Great example! I have suggested a slight rewording to this response to improve clarity (see "Revised Answer" box.)

Often, I've encountered situations where a patient's family members have reached out to me to discuss the patient's care. In order to discuss such information, the patient has to have listed those individuals on a contact sheet. It is challenging to explain to family members that I cannot talk with them about the patient's care since the patient has not authorized me to do so, especially when it would be best to get family members involved to help the patient. I follow HIPPA regulations with great precision and care, even when it is not easy to do so.

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35 Anthem Interview Questions & Answers

Jump to any question in the set.

01 The health insurance industry is very complex. All of our positions require strong organizational skills and attention to detail. How do you ensure that your work is properly organized and highly accurate? OPERATIONAL 02 What inspired you to apply for this position at Anthem? GENERAL 03 The health industry is strongly influenced by changing legislation. How do you stay current on new rules and regulations that impact our industry? OPERATIONAL 04 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? BEHAVIORAL 05 At Anthem, we deal with confidential patient data. Tell me about a time you followed HIPAA regulations even when it wasn't easy or convenient to do so. BEHAVIORAL 06 At Anthem, 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. BEHAVIORAL 07 At Anthem, we do a lot of community education 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. BEHAVIORAL 08 At Anthem, we have many positions where employees work remotely 99% of the time. How would you set yourself up for success at your home office? OPERATIONAL 09 At Anthem, 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. BEHAVIORAL 10 To work at Anthem, you have to be passionate about compliance and accuracy. Tell me why this is important to you. DISCOVERY 11 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. BEHAVIORAL 12 Many of our jobs at Anthem require us to do projects when there is down time. Can you give an example of a project you led start to finish? BEHAVIORAL 13 Our goal is to hire very ambitious people. Tell me about a time you went the extra mile, even when it may not have been required or asked of you. BEHAVIORAL 14 Anthem seeks to hire those with strong problem-solving skills. When were you able to successfully resolve a problem in the workplace? BEHAVIORAL 15 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? BEHAVIORAL 16 What is your patient care philosophy or customer care philosophy (if coming from different industry)? DISCOVERY 17 If you could expand your knowledge and expertise in any area of the health plan space, which would you choose? DISCOVERY 18 At Anthem, we believe in continuous feedback. Tell me about a time you received constructive feedback. What did you do after hearing this? BEHAVIORAL 19 Tell me about your healthcare related education and training. EDUCATION 20 At Anthem, innovation is really important to us. Give an example of an innovative idea you've had recently. BEHAVIORAL 21 We encourage professional curiosity in our workplace and an entrepreneurial mindset. If you could start your own business, what would you do? DISCOVERY 22 How do you connect with a customer you are working with virtually? OPERATIONAL 23 If Anthem hired you today, what would you accomplish first? DISCOVERY 24 What is your process for explaining technical information to people who aren't technical? OPERATIONAL 25 At Anthem, sometimes we have to make difficult decisions about whether or not a medical service is covered. In the past, how have you been able to put aside your personal feelings for the good of the business? BEHAVIORAL 26 This role would involve sales to new partners who want to offer their employees our health insurance. What are some ways you add value to prospective clients so that you can have meaningful discussions? GENERAL 27 At Anthem, we want a world class call center where each team member is empowered to give feedback to others. Tell me about a time you gave feedback to a colleague. BEHAVIORAL 28 At Anthem, we have many health insurance competitors that we need to have a pulse on. In your current role, how do you stay up to date with competitors? OPERATIONAL 29 Patients are becoming increasingly technology savvy and have higher expectations than ever from our industry. Innovation is required to provide more cost effective and high value care. Tell me about a new idea you recommended in your current role. BEHAVIORAL 30 At Anthem, we believe in transparency with our health insurance customers and our employees. Tell me about your leadership style in regards to transparency. LEADERSHIP 31 Tell me the difference between a medical bill and an EOB. TECHNICAL 32 Tell me about a time you had to deal with a difficult person at work. How did you handle it? BEHAVIORAL 33 Give me an example of a time you were given little direction on a job assignment. How did you complete it? BEHAVIORAL 34 How do you prioritize your work? OPERATIONAL 35 What is your preference - working alone or as part of a group? OPERATIONAL
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Kevin Downey
Written by Kevin Downey
35 QUESTIONS & ANSWERS · ANTHEM
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