Claims associate vs insurance biller

The differences between claims associates and insurance billers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a claims associate and an insurance biller. Additionally, a claims associate has an average salary of $36,558, which is higher than the $35,822 average annual salary of an insurance biller.

The top three skills for a claims associate include customer service, medical claims and phone calls. The most important skills for an insurance biller are patients, medical terminology, and CPT.

Claims associate vs insurance biller overview

	Claims Associate	Insurance Biller
Yearly salary	$36,558	$35,822
Hourly rate	$17.58	$17.22
Growth rate	-3%	-3%
Number of jobs	9,145	84,361
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 48%	High School Diploma, 26%
Average age	44	44
Years of experience	4	4

What does a claims associate do?

Claims associates control claims for insurance companies. Their job duties include determining a customer's insurance coverage and evaluating those who have filed a claim. Also, they must make sure that a claim is analyzed correctly for the clients to receive their entitled financial settlement. The work may require the agent to travel to generate information about the claim and may vary from a different position in the insurance industry. Qualifications for the job include an associate degree, excellent interpersonal and research skills as well as relevant experience in customer service.

What does an insurance biller do?

An insurance biller is responsible for making daily reviews and processing documents concerning the insurance payment and bills of a client. They assess if all requirements are correct and complete, obtain different referrals and authorization papers, and prepare and transmit document claims using a particular software. Also, they do follow ups regarding unpaid claims and update spreadsheets for record purposes.

Claims associate vs insurance biller salary

Claims associates and insurance billers have different pay scales, as shown below.

	Claims Associate	Insurance Biller
Average salary	$36,558	$35,822
Salary range	Between $30,000 And $44,000	Between $28,000 And $44,000
Highest paying City	Hartford, CT	-
Highest paying state	Connecticut	-
Best paying company	Accenture	-
Best paying industry	Insurance	-

Differences between claims associate and insurance biller education

There are a few differences between a claims associate and an insurance biller in terms of educational background:

	Claims Associate	Insurance Biller
Most common degree	Bachelor's Degree, 48%	High School Diploma, 26%
Most common major	Business	Business
Most common college	-	-

Claims associate vs insurance biller demographics

Here are the differences between claims associates' and insurance billers' demographics:

	Claims Associate	Insurance Biller
Average age	44	44
Gender ratio	Male, 30.3% Female, 69.7%	Male, 6.9% Female, 93.1%
Race ratio	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between claims associate and insurance biller duties and responsibilities

Claims associate example responsibilities.

Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
Obtain vehicle information from the DMV.
Follow HIPAA policy on each and every call.
Abided by the laws and regulations associate under HIPAA and patient confidentiality.
Receive recognition for creating a workflow and database for all incoming subpoenas.
Assist in training new CSA s on job responsibilities, which increase office productivity.

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Insurance biller example responsibilities.

Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
Utilize ICD-9 and CPT codes, enter charges, and send statements for billing purposes.
Process monetary transactions, insurance payments and enter into bookkeeping ledgers and monthly statements to patients.
Submit medical claims for reimbursement on medical services provide to patients by medical provider for reimbursement.
Code and post hospital and office charges using ICD-9, CPT-4.
Look up ICD-9 codes to verify if a code has been change and enter.

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Claims associate vs insurance biller skills

Common claims associate skills

Customer Service, 14%
Medical Claims, 8%
Phone Calls, 8%
Claims Handling, 7%
Insurance Claims, 6%
Medical Terminology, 5%

Common insurance biller skills

Patients, 15%
Medical Terminology, 10%
CPT, 8%
Medi-Cal, 6%
Data Entry, 5%
Insurance Claims, 5%

Claims Associate vs. similar jobs

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Updated January 8, 2025

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