Billing consultant vs medicare billing specialist

The differences between billing consultants and medicare billing specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a billing consultant and a medicare billing specialist. Additionally, a billing consultant has an average salary of $94,948, which is higher than the $36,773 average annual salary of a medicare billing specialist.

The top three skills for a billing consultant include patients, medicaid and billing procedures. The most important skills for a medicare billing specialist are patients, patient accounts, and data entry.

Billing consultant vs medicare billing specialist overview

	Billing Consultant	Medicare Billing Specialist
Yearly salary	$94,948	$36,773
Hourly rate	$45.65	$17.68
Growth rate	-3%	-3%
Number of jobs	25,943	54,593
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 47%	Associate Degree, 34%
Average age	46	46
Years of experience	2	2

Billing consultant vs medicare billing specialist salary

Billing consultants and medicare billing specialists have different pay scales, as shown below.

	Billing Consultant	Medicare Billing Specialist
Average salary	$94,948	$36,773
Salary range	Between $75,000 And $119,000	Between $30,000 And $44,000
Highest paying City	Washington, DC	-
Highest paying state	Maryland	-
Best paying company	Slalom	-
Best paying industry	Finance	-

Differences between billing consultant and medicare billing specialist education

There are a few differences between a billing consultant and a medicare billing specialist in terms of educational background:

	Billing Consultant	Medicare Billing Specialist
Most common degree	Bachelor's Degree, 47%	Associate Degree, 34%
Most common major	Business	Business
Most common college	Stanford University	University of Pennsylvania

Billing consultant vs medicare billing specialist demographics

Here are the differences between billing consultants' and medicare billing specialists' demographics:

	Billing Consultant	Medicare Billing Specialist
Average age	46	46
Gender ratio	Male, 24.9% Female, 75.1%	Male, 9.3% Female, 90.7%
Race ratio	Black or African American, 12.0% Unknown, 4.4% Hispanic or Latino, 18.4% Asian, 7.7% White, 56.7% American Indian and Alaska Native, 0.9%	Black or African American, 10.3% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 7.9% White, 59.8% American Indian and Alaska Native, 1.0%
LGBT Percentage	7%	7%

Differences between billing consultant and medicare billing specialist duties and responsibilities

Billing consultant example responsibilities.

Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
Register incoming patients, verify demographics as well as insurance verification.
Research and determine the viability of collections on all Medicaid accounts receivables.
Audit EMR system and correct ICD-9 coding errors.
Review EOB's, and apply payments to the patient's accounts, making applicable adjustments.
Contact insurance carrier directly, review eob's, reviewing medical records, denials, write appeals.

Medicare billing specialist example responsibilities.

Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
Call Medicare to re-open claims due to date, CPT, units, or other changes.
Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
Comply with all HIPPA laws.

Billing consultant vs medicare billing specialist skills

Common billing consultant skills

Patients, 13%
Medicaid, 10%
Billing Procedures, 8%
Medical Claims, 5%
Patient Accounts, 4%
Medical Billing Software, 3%

Common medicare billing specialist skills

Patients, 20%
Patient Accounts, 6%
Data Entry, 5%
Medicare, 5%
Medicaid, 5%
CPT, 5%

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Billing Consultant
Billing Consultant vs Medicare Billing Specialist

Updated January 8, 2025

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