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Biller vs insurance clerk

The differences between billers and insurance clerks can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 1-2 years to become a biller, becoming an insurance clerk takes usually requires 2-4 years. Additionally, a biller has an average salary of $38,333, which is higher than the $33,089 average annual salary of an insurance clerk.

The top three skills for a biller include patients, customer service and data entry. The most important skills for an insurance clerk are patients, insurance verification, and data entry.

Biller vs insurance clerk overview

BillerInsurance Clerk
Yearly salary$38,333$33,089
Hourly rate$18.43$15.91
Growth rate-3%-3%
Number of jobs35,740147,755
Job satisfaction-2
Most common degreeAssociate Degree, 28%High School Diploma, 29%
Average age4644
Years of experience24

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 an insurance clerk do?

An insurance clerk usually works to process insurance, reinstatement, changes, or cancellations for a company or an individual account. They are responsible for monitoring, processing, and organizing different insurance claims for a client. They usually work closely with the company's insurance agent to provide necessary information to process the clients' application. This career requires a broad knowledge of local and state insurance policies, good attention to detail, excellent communication skills, customer service skills, and administrative skills.

Biller vs insurance clerk salary

Billers and insurance clerks have different pay scales, as shown below.

BillerInsurance Clerk
Average salary$38,333$33,089
Salary rangeBetween $29,000 And $49,000Between $27,000 And $39,000
Highest paying CityWashington, DCHenderson, NV
Highest paying stateWashingtonNew Hampshire
Best paying companyUC MercedLenoir Memorial Hospital
Best paying industryManufacturingFinance

Differences between biller and insurance clerk education

There are a few differences between a biller and an insurance clerk in terms of educational background:

BillerInsurance Clerk
Most common degreeAssociate Degree, 28%High School Diploma, 29%
Most common majorHealth Care AdministrationBusiness
Most common collegeStanford University-

Biller vs insurance clerk demographics

Here are the differences between billers' and insurance clerks' demographics:

BillerInsurance Clerk
Average age4644
Gender ratioMale, 11.6% Female, 88.4%Male, 8.3% Female, 91.7%
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, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage7%11%

Differences between biller and insurance clerk 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

Insurance clerk example responsibilities.

  • Manage front office check-in, insurance verification and certifications from doctors.
  • Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
  • Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
  • Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
  • Complete several ICD-10 training courses.
  • Perform medical coding with most accurate and descriptive HCPCS code.
    • Show more

Biller vs insurance clerk skills

Common biller skills
  • Patients, 18%
  • Customer Service, 10%
  • Data Entry, 6%
  • CPT, 5%
  • Medicaid, 4%
  • Patient Accounts, 4%
Common insurance clerk skills
  • Patients, 25%
  • Insurance Verification, 7%
  • Data Entry, 7%
  • Customer Service, 6%
  • Insurance Coverage, 5%
  • Computer System, 3%

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Updated January 8, 2025

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