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Authorized representative vs billing representative

The differences between authorized representatives and billing representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an authorized representative, becoming a billing representative takes usually requires 1-2 years. Additionally, an authorized representative has an average salary of $38,897, which is higher than the $35,002 average annual salary of a billing representative.

The top three skills for an authorized representative include patients, medical terminology and insurance verification. The most important skills for a billing representative are patients, customer service, and data entry.

Authorized representative vs billing representative overview

Authorized RepresentativeBilling Representative
Yearly salary$38,897$35,002
Hourly rate$18.70$16.83
Growth rate-4%-3%
Number of jobs64,80695,425
Job satisfaction--
Most common degreeBachelor's Degree, 39%Bachelor's Degree, 30%
Average age4046
Years of experience42

What does an authorized representative do?

An authorized representative's primary role is to represent an individual or company in different official transactions. They have the authority to communicate, liaise, negotiate, and make decisions according to goals and project requirements. Although most authorized representatives have varying responsibilities depending on their company of employment, it usually includes understanding project needs, liaising with internal and external parties, preparing and processing documents, organizing files, handling calls and correspondence, and monitoring the transactions' progress. Moreover, as an authorized representative, it is essential to be proactive at dealing with issues, resolving them promptly and professionally.

What does a billing representative do?

A billing representative assists with the overall operations of the organization's billing department. Billing representatives post payments timely on the database, update account statements, generate financial reports, release invoices, and resolve account discrepancies. They also perform client accounts reconciliation as needed, monitor account receivables, review overdated balance, and notify clients of payment updates to ensure accurate and timely billing. A billing representative must have strong analytical and communication skills to manage clients' accounts, as well as comprehensive knowledge on the accounting industry to explain the payment terms and policies of an organization to a client.

Authorized representative vs billing representative salary

Authorized representatives and billing representatives have different pay scales, as shown below.

Authorized RepresentativeBilling Representative
Average salary$38,897$35,002
Salary rangeBetween $29,000 And $50,000Between $28,000 And $42,000
Highest paying CityElmira, NYWorcester, MA
Highest paying stateNew YorkMassachusetts
Best paying companyHill InternationalRelevante
Best paying industryInsuranceTechnology

Differences between authorized representative and billing representative education

There are a few differences between an authorized representative and a billing representative in terms of educational background:

Authorized RepresentativeBilling Representative
Most common degreeBachelor's Degree, 39%Bachelor's Degree, 30%
Most common majorBusinessBusiness
Most common collegeStanford UniversityStanford University

Authorized representative vs billing representative demographics

Here are the differences between authorized representatives' and billing representatives' demographics:

Authorized RepresentativeBilling Representative
Average age4046
Gender ratioMale, 29.6% Female, 70.4%Male, 15.7% Female, 84.3%
Race ratioBlack or African American, 10.5% Unknown, 5.4% Hispanic or Latino, 23.3% Asian, 6.6% White, 53.4% American Indian and Alaska Native, 0.7%Black or African American, 10.4% Unknown, 4.3% Hispanic or Latino, 19.9% Asian, 7.3% White, 57.2% American Indian and Alaska Native, 0.9%
LGBT Percentage7%7%

Differences between authorized representative and billing representative duties and responsibilities

Authorized representative example responsibilities.

  • Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
  • Audit requests to ensure that proper ICD-9 and CPT coding are applied.
  • Research coordinator and referral coordinator, obtain insurance authorization and provide information to insurance carriers or patients regarding patient accounts.
  • Verify (CCS), CHDP, HMO, PPO authorizations.
  • Adhere strictly to HIPAA privacy guidelines.
  • Scan Medicaid coverage in to patient's electronic file.
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Billing representative example responsibilities.

  • Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
  • Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
  • Submit and receive Medicare and Medicaid claims electronically on a daily basis.
  • Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
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Authorized representative vs billing representative skills

Common authorized representative skills
  • Patients, 24%
  • Medical Terminology, 11%
  • Insurance Verification, 7%
  • CPT, 5%
  • Insurance Authorizations, 5%
  • Data Entry, 4%
Common billing representative skills
  • Patients, 18%
  • Customer Service, 13%
  • Data Entry, 6%
  • Medical Billing, 5%
  • Medicaid, 5%
  • Patient Accounts, 4%

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