What does a billing administrator do?
A billing administrator is primarily in charge of managing the billing and collection procedures of a company. They mostly handle administrative tasks such as gathering and organizing patient information, preparing billing data and invoices, maintaining and updating databases, and keeping an eye for any errors and inconsistencies, taking corrective measures right away. In some industries, a billing administrator must coordinate and submit receipts to insurance companies, answer client inquiries, discuss products and services, and produce regular reports. Moreover, as a billing administrator, it is essential to maintain a clear line of communication with staff for an efficient workflow.
Billing administrator responsibilities
Here are examples of responsibilities from real billing administrator resumes:
- Manage facility procedures relate to insurance and billing and solve patients' queries regarding their insurance renewal and expiry.
- Perform coding of inpatient/outpatient office, endoscopy, & pathology services and ensure proper assignment of ICD-9 and CPT codes.
- Experience with CMS FISS systems.
- Coordinate HCPC and ICD-9 codes for billing.
- Reconcile JDE invoicing reports to CMS invoicing reports.
- Implement corporate or departmental policies, HIPAA compliance, and service standards in conjunction with clinical and billing.
- Bill all insurances for out-patients services verifying that the CPT and diagnosis codes are correct base on medical necessity.
- Review and update all CPT-4, ICD-9, and HCPCS code changes as applicable from mandates by insurance payers.
- Maintain accurate Medicare and Medicaid billing analysis reports.
- Maintain strictest confidentiality by adhering to all HIPAA guidelines/regulations.
- Advance knowledge of internal computerize system for direct billing of Medicare and Medicaid.
- Check in patients, receive co-pays, gather new patient information and compare existing patients with computerize records for accuracy.
- Work all incoming insurance/patient billing correspondence, appeals, reviews, and actively work accounts to resolution within timely filing parameters.
- Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
Billing administrator skills and personality traits
We calculated that 12% of Billing Administrators are proficient in Data Entry, Patients, and Billing Issues. They’re also known for soft skills such as Communication skills, Organizational skills, and Math skills.
We break down the percentage of Billing Administrators that have these skills listed on their resume here:
- Data Entry, 12%
Complete appropriate documentation and data entry regarding claim invoicing, verifying all information entered is correct.
- Patients, 12%
Checked in patients, received co-pays, gathered new patient information and compared existing patients with computerized records for accuracy.
- Billing Issues, 7%
Improved internal processes for better billing practices and increased revenue by troubleshooting e-billing issues and analyzing client rejections and deductions.
- Financial Reports, 4%
Conduct and administer fiscal operations, including medical billing, accounting, authorizing expenditures and coordinating financial reports.
- Billing System, 4%
Verified, validated and reconciled billing agreements, billing instructions and billing system configurations.
- Medical Billing, 3%
Provided exceptional administrative support and medical billing expertise.
"data entry," "patients," and "billing issues" are among the most common skills that billing administrators use at work. You can find even more billing administrator responsibilities below, including:
Communication skills. One of the key soft skills for a billing administrator to have is communication skills. You can see how this relates to what billing administrators do because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, a billing administrator resume shows how billing administrators use communication skills: "controlled and managed data entry, communications and correspondences using the hospital mainframe computer system. "
Organizational skills. Another soft skill that's essential for fulfilling billing administrator duties is organizational skills. The role rewards competence in this skill because "financial clerks must be able to arrange files so they can find them quickly and efficiently." According to a billing administrator resume, here's how billing administrators can utilize organizational skills in their job responsibilities: "completed 160-hr externship of medical billing for durable medical equipment, using excellent time management and organizational skills. "
Math skills. Another skill that relates to the job responsibilities of billing administrators is math skills. This skill is critical to many everyday billing administrator duties, as "the job duties of financial clerks includes calculating charges and updating financial records." This example from a resume shows how this skill is used: "provided monthly analysis reports and statistics to management regarding monthly price changes and other billing functions. "
The three companies that hire the most billing administrators are:
- SMX Convention Center51 billing administrators jobs
- Wilson Elser Moskowitz Edelman & Dicker Llp11 billing administrators jobs
- Forward Air6 billing administrators jobs
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Compare different billing administrators
Billing administrator vs. Account specialist
An account specialist is responsible for reaching out to customers or potential clients through calls, emails, and other forms of correspondence to secure sales and strengthen business relations. An account specialist may also perform other tasks such as arranging appointment schedules with clients, providing price quotes and responding to further inquiries, process orders, generating sales leads, and handling complaints and resolving issues. Furthermore, an account specialist may also be involved in developing strategies, finding new opportunities, producing and completing necessary documents, and preparing reports, all in adherence to the company's policies and regulations.
There are some key differences in the responsibilities of each position. For example, billing administrator responsibilities require skills like "billing system," "client billing," "billing process," and "front desk." Meanwhile a typical account specialist has skills in areas such as "customer service," "account management," "powerpoint," and "catheter." This difference in skills reveals the differences in what each career does.
Account specialists tend to make the most money working in the finance industry, where they earn an average salary of $47,336. In contrast, billing administrators make the biggest average salary, $41,089, in the construction industry.The education levels that account specialists earn slightly differ from billing administrators. In particular, account specialists are 0.8% more likely to graduate with a Master's Degree than a billing administrator. Additionally, they're 0.1% more likely to earn a Doctoral Degree.Billing administrator vs. Account representative
Account representatives are employees who manage client accounts and act as the main contact of the clients they are handling. They maintain existing accounts by updating client details regularly. They also check up on clients to see if they are still satisfied with the products or services of the company. They also create new accounts by welcoming new clients and assisting them in their needs. Account representatives manage client inquiries and process client requests. They also address complaints and ensure that any challenges are mitigated and that clients remain with the company.
Each career also uses different skills, according to real billing administrator resumes. While billing administrator responsibilities can utilize skills like "financial reports," "client billing," "billing process," and "front desk," account representatives use skills like "customer service," "customer satisfaction," "medical terminology," and "financial assistance."
On average, account representatives earn a lower salary than billing administrators. Some industries support higher salaries in each profession. Interestingly enough, account representatives earn the most pay in the finance industry with an average salary of $38,433. Whereas billing administrators have higher pay in the construction industry, with an average salary of $41,089.In general, account representatives achieve similar levels of education than billing administrators. They're 0.3% less likely to obtain a Master's Degree while being 0.1% more likely to earn a Doctoral Degree.Billing administrator vs. Customer service and billing
A customer service and billing worker primarily assists customers when it comes to billing matters. They answer calls or correspondence from customers to identify their needs, respond to inquiries, discuss product or service specifications, manage billing arrangements, provide price quotes, and offer other services. They may also arrange appointments, process refunds, and solve issues and concerns, ensuring efficiency and client satisfaction. Additionally, customer service and billing maintains records of all transactions and reports to managers regularly.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a billing administrator is likely to be skilled in "financial reports," "client billing," "billing process," and "deltek vision," while a typical customer service and billing is skilled in "strong customer service," "inbound calls," "outbound calls," and "process payments."
Customer service and billings earn the highest salary when working in the utilities industry, where they receive an average salary of $38,268. Comparatively, billing administrators have the highest earning potential in the construction industry, with an average salary of $41,089.Most customer service and billings achieve a similar degree level compared to billing administrators. For example, they're 1.5% less likely to graduate with a Master's Degree, and 0.1% less likely to earn a Doctoral Degree.Billing administrator vs. Accounting representative
Account representatives are in charge of making sales. Their primary duties include designing and maintaining customer accounts, as well as being a liaison between the organization and clients. They constantly communicate with clients, respond to their concerns, and monitor transactions as well as payments. Also, they develop company invoices, regularly keeping track of client's transactions, maintaining records of the client's account, and routinely auditing them. The job requirements include strong communication and negotiation skills, relevant experience in sales, and confidence.
Types of billing administrator
Updated January 8, 2025
