What does a billing and quality technician do?
Billing and quality technician responsibilities
Here are examples of responsibilities from real billing and quality technician resumes:
- Manage and evaluate encounter data and ensure compliance with ICD-9 coding.
- Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
- Create and submit claims and appeals for the billing department.
- Comply with all HIPPA rules and regulations.
- Maintain all lab billing records, patient demographics and enter Medi-Cal claims.
- Process and correct high volume claims for outpatient hospital Medi-cal services via DSG.
- Respond to all hand written appeals to insurance carriers due to incorrect denials for payment.
- Train patients for contact lenses, adjustments and the use of glasses to include progressive fitting.
- Maintain and coordinate Medicaid and immunization patient files.
- Collect delinquent accounts by establishing payment arrangements with patients.
- Maintain appropriate files and documentation for Medicaid billing and auditing purposes.
- Maintain confidentiality of patient and hospital information while following HIPAA and company policies and procedures.
- Perform complex general accounting functions, including preparation of journal entries, account analysis and balance sheet reconciliations.
- Audit all banking transactions through QuickBooks to regularly verify firm-wide financial accuracy.
Billing and quality technician skills and personality traits
We calculated that 32% of Billing And Quality Technicians are proficient in Patients, Medical Billing, and Customer Service. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Billing And Quality Technicians that have these skills listed on their resume here:
- Patients, 32%
Helped patients with account questions and also determined whether accounts should go to collections or not.
- Medical Billing, 7%
Answer phones, Check in/out clients, Assist therapist with therapy, Medical Billing for services, Pre-authorize therapy and medical services
- Customer Service, 7%
Served as expert customer service representative, interacting with clients to ensure customer satisfaction.
- Medicaid, 6%
Assist clients in obtaining Medicaid eligibility.
- Appeals, 4%
Claim follow up, appeals, Accounts receivable, claim resubmit, adjustments, follow up calls, correspondence
- Patient Accounts, 4%
Balanced and/or reconciled patient account ledgers.
Common skills that a billing and quality technician uses to do their job include "patients," "medical billing," and "customer service." You can find details on the most important billing and quality technician responsibilities below.
Communication skills. To carry out their duties, the most important skill for a billing and quality technician to have is communication skills. Their role and responsibilities require that "financial clerks should be able to explain policies and procedures to colleagues and customers." Billing and quality technicians often use communication skills in their day-to-day job, as shown by this real resume: "performed customer experience evaluations and provided customer service through written and oral communication. "
Math skills. Many billing and quality technician duties rely on math skills. "the job duties of financial clerks includes calculating charges and updating financial records.," so a billing and quality technician will need this skill often in their role. This resume example is just one of many ways billing and quality technician responsibilities rely on math skills: "instruct students in the area of billing and coding, medical terminology, math and career development in the medical arena. "
Organizational skills. This is an important skill for billing and quality technicians to perform their duties. For an example of how billing and quality technician responsibilities depend on this skill, consider that "financial clerks must be able to arrange files so they can find them quickly and efficiently." This excerpt from a resume also shows how vital it is to everyday roles and responsibilities of a billing and quality technician: "contributed as an effective team member by establishing new patient accounts in accordance with organizational procedures and practices. ".
The three companies that hire the most billing and quality technicians are:
- FirstEnergy2 billing and quality technicians jobs
- State Of Montana2 billing and quality technicians jobs
- Heritage Operations Group1 billing and quality technicians jobs
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Compare different billing and quality technicians
Billing and quality technician vs. Rater
The duties of a rater depend on one's line of work or industry of employment. Typically, it is their responsibility to rate products, services, or systems according to criteria or a set of standards, ensuring quality and compliance to regulations. There are also instances when a rater must maintain records of all transactions, assess documents, and report to managers or supervisors should there be any issues or concerns. Furthermore, a rater must also have an understanding of the task's objectives, including the company's policies and regulations.
There are some key differences in the responsibilities of each position. For example, billing and quality technician responsibilities require skills like "patients," "medical billing," "customer service," and "medicaid." Meanwhile a typical rater has skills in areas such as "data entry," "esl," "insurance policies," and "informed consent." This difference in skills reveals the differences in what each career does.
On average, raters reach higher levels of education than billing and quality technicians. Raters are 17.0% more likely to earn a Master's Degree and 3.3% more likely to graduate with a Doctoral Degree.Billing and quality technician vs. Insurance specialist
An insurance specialist is an individual responsible for interpreting insurance plans and providing risk management advice to clients and wealth managers. Insurance specialists must have a full understanding of risk management to craft a comprehensive solution that integrates well with the client's portfolio. They need to manage their clients' accounts and should maintain contact with clients after the application process. Insurance specialists must ensure that government insurance programs comply with federal laws, regulations, and contracts within the healthcare industry.
In addition to the difference in salary, there are some other key differences worth noting. For example, billing and quality technician responsibilities are more likely to require skills like "submit claims," "billing system," "medi-cal," and "billing statements." Meanwhile, an insurance specialist has duties that require skills in areas such as "exceptional client," "insurance coverage," "insurance verification," and "life insurance." These differences highlight just how different the day-to-day in each role looks.
Insurance specialists earn a lower average salary than billing and quality technicians. But insurance specialists earn the highest pay in the government industry, with an average salary of $38,343. Additionally, billing and quality technicians earn the highest salaries in the insurance with average pay of $39,370 annually.In general, insurance specialists achieve similar levels of education than billing and quality technicians. They're 0.9% more likely to obtain a Master's Degree while being 3.3% more likely to earn a Doctoral Degree.Billing and quality technician 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 and quality technician is likely to be skilled in "customer service," "appeals," "submit claims," and "patient billing," while a typical customer service and billing is skilled in "strong customer service," "data entry," "credit card payments," and "customer accounts."
Customer service and billings earn the best pay in the utilities industry, where they command an average salary of $38,268. Billing and quality technicians earn the highest pay from the insurance industry, with an average salary of $39,370.Most customer service and billings achieve a similar degree level compared to billing and quality technicians. For example, they're 0.9% less likely to graduate with a Master's Degree, and 0.1% less likely to earn a Doctoral Degree.Billing and quality technician vs. Biller
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.
Even though a few skill sets overlap between billing and quality technicians and billers, there are some differences that are important to note. For one, a billing and quality technician might have more use for skills like "customer inquiries," "billing statements," "credit card," and "benefit changes." Meanwhile, some responsibilities of billers require skills like "data entry," "math," "home health," and "icd-10. "
The manufacturing industry tends to pay the highest salaries for billers, with average annual pay of $42,377. Comparatively, the highest billing and quality technician annual salary comes from the insurance industry.billers reach similar levels of education compared to billing and quality technicians, in general. The difference is that they're 1.3% more likely to earn a Master's Degree, and 0.0% more likely to graduate with a Doctoral Degree.Types of billing and quality technician
Updated January 8, 2025
