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Biller vs billing representative

The differences between billers and billing representatives can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a biller and a billing representative. Additionally, a biller has an average salary of $38,333, which is higher than the $35,002 average annual salary of a billing representative.

The top three skills for a biller include patients, customer service and data entry. The most important skills for a billing representative are patients, customer service, and data entry.

Biller vs billing representative overview

BillerBilling Representative
Yearly salary$38,333$35,002
Hourly rate$18.43$16.83
Growth rate-3%-3%
Number of jobs35,74095,425
Job satisfaction--
Most common degreeAssociate Degree, 28%Bachelor's Degree, 30%
Average age4646
Years of experience22

What does a biller do?

Billers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services. They must manage all aspects of the medical billing process and make necessary contacts with insurance payers or patients to ensure maximum reimbursements. Billers must also provide services that are associated with internal and external customer billing and payment processing operations.

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.

Biller vs billing representative salary

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

BillerBilling Representative
Average salary$38,333$35,002
Salary rangeBetween $29,000 And $49,000Between $28,000 And $42,000
Highest paying CityWashington, DCWorcester, MA
Highest paying stateWashingtonMassachusetts
Best paying companyUC MercedRelevante
Best paying industryManufacturingTechnology

Differences between biller and billing representative education

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

BillerBilling Representative
Most common degreeAssociate Degree, 28%Bachelor's Degree, 30%
Most common majorHealth Care AdministrationBusiness
Most common collegeStanford UniversityStanford University

Biller vs billing representative demographics

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

BillerBilling Representative
Average age4646
Gender ratioMale, 11.6% Female, 88.4%Male, 15.7% Female, 84.3%
Race ratioBlack or African American, 9.4% Unknown, 4.3% Hispanic or Latino, 21.8% Asian, 6.8% White, 56.9% American Indian and Alaska Native, 0.8%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 biller and billing representative duties and responsibilities

Biller example responsibilities.

  • Manage payer requirements, regulatory compliance requirements, HIPAA privacy and security requirements, medical terminology and general revenue cycle procedures.
  • Ensure all ICD-9 and CPT coding are correct and forward any errors to the appropriate departments to correct.
  • Prepare forms for CPT-4 and ICD-9 coding.
  • Acquire a working knowledge of revenue codes and HCPCS codes.
  • Answer phones, review, verifying insurance and ICD-9 coding of service reports.
  • Maintain confidentiality of all pertinent client information in compliance with HIPAA laws and regulations.
    • Show more

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.
    • Show more

Biller vs billing representative skills

Common biller skills
  • Patients, 18%
  • Customer Service, 10%
  • Data Entry, 6%
  • CPT, 5%
  • Medicaid, 4%
  • Patient Accounts, 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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Updated January 8, 2025

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