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Billing manager vs claims manager

The differences between billing managers and claims managers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a billing manager and a claims manager. Additionally, a billing manager has an average salary of $77,507, which is higher than the $73,369 average annual salary of a claims manager.

The top three skills for a billing manager include patients, customer service and billing procedures. The most important skills for a claims manager are customer service, oversight, and litigation.

Billing manager vs claims manager overview

Billing ManagerClaims Manager
Yearly salary$77,507$73,369
Hourly rate$37.26$35.27
Growth rate17%-6%
Number of jobs38,70930,302
Job satisfaction35
Most common degreeBachelor's Degree, 46%Bachelor's Degree, 66%
Average age4747
Years of experience66

What does a billing manager do?

A billing manager is in charge of overseeing the systems and processes concerned with billing in a company. One of their primary duties is to handle the receivable accounts to ensure smooth cash flow, assess the validity of bills, provide corrective measures when necessary, supervise the workforce's performance, and solve issues raised by staff. As a billing manager, it is essential to implement all policies and regulations while leading and encouraging the team in their joint effort to reach targets and deadlines.

What does a claims manager do?

A claims manager is an individual who works in an insurance-based firm and is responsible for managing the insurance claims department that is composed of examiners and adjusters. Claims managers are required to maintain claim files and reviewing these files as well as communicate with customers to follow up regarding issues they face with insurance claims. They must determine who is liable for the damage if there were other parties involved. Claims managers must also include an expert to assess the amount of damage and avoid insurance fraud.

Billing manager vs claims manager salary

Billing managers and claims managers have different pay scales, as shown below.

Billing ManagerClaims Manager
Average salary$77,507$73,369
Salary rangeBetween $52,000 And $114,000Between $45,000 And $117,000
Highest paying CitySan Jose, CASan Francisco, CA
Highest paying stateNew JerseyCalifornia
Best paying companyGoogleZurich
Best paying industryUtilitiesInsurance

Differences between billing manager and claims manager education

There are a few differences between a billing manager and a claims manager in terms of educational background:

Billing ManagerClaims Manager
Most common degreeBachelor's Degree, 46%Bachelor's Degree, 66%
Most common majorBusinessBusiness
Most common collegeCalifornia State University - BakersfieldCalifornia State University - Bakersfield

Billing manager vs claims manager demographics

Here are the differences between billing managers' and claims managers' demographics:

Billing ManagerClaims Manager
Average age4747
Gender ratioMale, 17.7% Female, 82.3%Male, 47.9% Female, 52.1%
Race ratioBlack or African American, 10.6% Unknown, 4.8% Hispanic or Latino, 18.0% Asian, 5.8% White, 60.0% American Indian and Alaska Native, 0.7%Black or African American, 10.0% Unknown, 4.8% Hispanic or Latino, 17.1% Asian, 5.9% White, 61.5% American Indian and Alaska Native, 0.7%
LGBT Percentage8%8%

Differences between billing manager and claims manager duties and responsibilities

Billing manager example responsibilities.

  • Manage, extract, and process EHRs by request.
  • Manage the clinical staff payroll, the coding, authorization, and the billing of PDN, HHA and DME claims.
  • Manage point-of-service collection functions to improve customer service and increase revenue for clinic and surgery centers.
  • Manage preparation and maintain analysis by divisions to include CPT fees, Medicare reimbursement and contract reimbursements.
  • Credential providers with Medicare, Medicaid and commercial carriers.
  • Approve and post all A/R adjustments via PeopleSoft.
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Claims manager example responsibilities.

  • Manage multiple outsource PPO networks that enable company to increase top line revenue.
  • Achieve improved structure and efficiency with initiation of pip specific unit.
  • Manage day-to-day operations of claims department and provide general oversight and direction of all claims activity.
  • Oversee implementation and management of litigation and expense protocols including AFA agreements and BLO oversight.
  • Respond to all DOI questions and concerns.
  • Work with TPA, service providers and personnel on the design, implementation, and management of wellness programs.
  • Show more

Billing manager vs claims manager skills

Common billing manager skills
  • Patients, 14%
  • Customer Service, 9%
  • Billing Procedures, 6%
  • Revenue Cycle, 4%
  • Financial Reports, 4%
  • Medicaid, 4%
Common claims manager skills
  • Customer Service, 15%
  • Oversight, 11%
  • Litigation, 8%
  • Direct Reports, 4%
  • Claims Handling, 4%
  • Insurance Claims, 3%

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