What does a Billing Consultant do?
Billing consultant responsibilities
Here are examples of responsibilities from real billing consultant resumes:
- 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.
- Train administrative staff about Medicaid documentation and compliance.
- Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.
- Document all patient information accurately, adhering to HIPAA regulations.
- Provide professional customer services in relations with patients, therapist and insurance adjusters.
- Perform complex general accounting functions, including preparation of journal entries, account analysis and balance sheet reconciliations.
- Review and research of CMS guidelines then disburse information accordingly to necessary individuals.
Billing consultant skills and personality traits
We calculated that 13% of Billing Consultants are proficient in Patients, Medicaid, and Billing Procedures. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Billing Consultants that have these skills listed on their resume here:
- Patients, 13%
Updated/Reviewed Patient's Access Information in EPIC verifying Patients Registration Data during intake process/screening.
- Medicaid, 10%
Researched and determined the viability of collections on all Medicaid accounts receivables.
- Billing Procedures, 8%
Reviewed the billing procedures for quality control, referral processes, collection standard reports, and accounts receivable reports.
- Medical Claims, 5%
Reconciled $10,000 in rejected medical claims electronically.
- Patient Accounts, 4%
Required demonstrated experience in revenue cycle and revenue enhancement initiatives and knowledge of patient accounting systems.
- Medical Billing Software, 3%
Perform medical billing claims, accounts receivable follow-up and collections using Kareo, AdvancedMD and ADP medical billing software.
Most billing consultants use their skills in "patients," "medicaid," and "billing procedures" to do their jobs. You can find more detail on essential billing consultant responsibilities here:
Communication skills. The most essential soft skill for a billing consultant to carry out their responsibilities is communication skills. This skill is important for the role because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, a billing consultant resume shows how their duties depend on communication skills: "ensured new gte billing system met all requirements including company, telecommunications industry, customer, and user requirements. "
Math skills. Many billing consultant duties rely on math skills. "the job duties of financial clerks includes calculating charges and updating financial records.," so a billing consultant will need this skill often in their role. This resume example is just one of many ways billing consultant responsibilities rely on math skills: "inputted patient demographics, maintained the patient's information, reports, income reports and statistics with balancing the daily schedule. "
Organizational skills. billing consultants are also known for organizational skills, which are critical to their duties. You can see how this skill relates to billing consultant responsibilities, because "financial clerks must be able to arrange files so they can find them quickly and efficiently." A billing consultant resume example shows how organizational skills is used in the workplace: "trained office personnel on billing procedures, per facility request developed an organizational system that structuralized the billing office"
The three companies that hire the most billing consultants are:
- Accenture43 billing consultants jobs
- Ernst & Young37 billing consultants jobs
- Cognizant2 billing consultants jobs
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Compare different billing consultants
Billing consultant 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.
While similarities exist, there are also some differences between billing consultants and account representative. For instance, billing consultant responsibilities require skills such as "billing procedures," "medical billing software," "emr," and "overdue accounts." Whereas a account representative is skilled in "customer service," "data entry," "customer satisfaction," and "cpt." This is part of what separates the two careers.
Account representatives tend to make the most money working in the finance industry, where they earn an average salary of $38,433. In contrast, billing consultants make the biggest average salary, $94,369, in the finance industry.The education levels that account representatives earn slightly differ from billing consultants. In particular, account representatives are 4.0% less likely to graduate with a Master's Degree than a billing consultant. Additionally, they're 0.3% less likely to earn a Doctoral Degree.Billing consultant vs. Insurance clerk
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.
In addition to the difference in salary, there are some other key differences worth noting. For example, billing consultant responsibilities are more likely to require skills like "billing procedures," "medical claims," "medical billing software," and "billing system." Meanwhile, an insurance clerk has duties that require skills in areas such as "data entry," "customer service," "insurance coverage," and "computer system." These differences highlight just how different the day-to-day in each role looks.
Insurance clerks earn a lower average salary than billing consultants. But insurance clerks earn the highest pay in the finance industry, with an average salary of $33,939. Additionally, billing consultants earn the highest salaries in the finance with average pay of $94,369 annually.In general, insurance clerks achieve lower levels of education than billing consultants. They're 5.5% less likely to obtain a Master's Degree while being 0.3% less likely to earn a Doctoral Degree.Billing consultant 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 consultant is likely to be skilled in "billing procedures," "medical billing software," "emr," and "overdue accounts," while a typical customer service and billing is skilled in "strong customer service," "data entry," "credit card payments," and "outbound calls."
Customer service and billings make a very good living in the utilities industry with an average annual salary of $38,268. On the other hand, billing consultants are paid the highest salary in the finance industry, with average annual pay of $94,369.When it comes to education, customer service and billings tend to earn lower degree levels compared to billing consultants. In fact, they're 5.2% less likely to earn a Master's Degree, and 0.4% less likely to graduate with a Doctoral Degree.Billing consultant vs. Insurance coordinator
An insurance coordinator is responsible for evaluating and validating insurance information to verify claims and process the necessary claims resolutions for parties. Insurance coordinators submit claims statements timely to the insurance officers for review, coordinate with the clients for inquiries and updates, and reach out to medical institutions for accurate filing of payments. An insurance coordinator must have excellent communication and analytical skills to assess reports, resolve claims discrepancies, and escalate high-level complaints to the officers for immediate action.
Types of billing consultant
Updated January 8, 2025
