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Claims collector vs billing specialist

The differences between claims collectors and billing specialists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a claims collector, becoming a billing specialist takes usually requires 1-2 years. Additionally, a claims collector has an average salary of $36,591, which is higher than the $35,624 average annual salary of a billing specialist.

The top three skills for a claims collector include patients, appeals and medicaid. The most important skills for a billing specialist are patients, customer service, and data entry.

Claims collector vs billing specialist overview

Claims CollectorBilling Specialist
Yearly salary$36,591$35,624
Hourly rate$17.59$17.13
Growth rate-8%-3%
Number of jobs19,14255,205
Job satisfaction--
Most common degreeBachelor's Degree, 34%Bachelor's Degree, 31%
Average age4646
Years of experience122

Claims collector vs billing specialist salary

Claims collectors and billing specialists have different pay scales, as shown below.

Claims CollectorBilling Specialist
Average salary$36,591$35,624
Salary rangeBetween $30,000 And $43,000Between $27,000 And $45,000
Highest paying City-Washington, DC
Highest paying state-Delaware
Best paying company-TIBCO Software
Best paying industry-Manufacturing

Differences between claims collector and billing specialist education

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

Claims CollectorBilling Specialist
Most common degreeBachelor's Degree, 34%Bachelor's Degree, 31%
Most common majorBusinessBusiness
Most common college-University of Pennsylvania

Claims collector vs billing specialist demographics

Here are the differences between claims collectors' and billing specialists' demographics:

Claims CollectorBilling Specialist
Average age4646
Gender ratioMale, 15.8% Female, 84.2%Male, 12.7% Female, 87.3%
Race ratioBlack or African American, 14.1% Unknown, 4.0% Hispanic or Latino, 19.5% Asian, 3.5% White, 58.4% American Indian and Alaska Native, 0.5%Black or African American, 10.9% Unknown, 4.4% Hispanic or Latino, 19.2% Asian, 7.4% White, 57.3% American Indian and Alaska Native, 0.9%
LGBT Percentage8%7%

Differences between claims collector and billing specialist duties and responsibilities

Claims collector example responsibilities.

  • Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
  • Operate under HIPPA guidelines for all collection activities.
  • Maintain strict confidentiality and adhere to HIPPA policies.
  • Maintain high- standards of confidentiality per HIPAA guidelines.
  • Review and resubmits denials from Medicaid, Medicare and private health insurance.
  • Research and resolve denials and EOB rejections within standard billing cycle timeframe.
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Billing specialist example responsibilities.

  • Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
  • Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
  • Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
  • Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
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Claims collector vs billing specialist skills

Common claims collector skills
  • Patients, 27%
  • Appeals, 11%
  • Medicaid, 10%
  • Medical Insurance Claims, 8%
  • EOB, 6%
  • Outbound Calls, 5%
Common billing specialist skills
  • Patients, 16%
  • Customer Service, 10%
  • Data Entry, 9%
  • Medical Billing, 7%
  • Medicaid, 6%
  • CPT, 3%

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