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Claims collector vs collections representative

The differences between claims collectors and collections representatives can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a claims collector and a collections representative. Additionally, a claims collector has an average salary of $36,591, which is higher than the $34,015 average annual salary of a collections representative.

The top three skills for a claims collector include patients, appeals and medicaid. The most important skills for a collections representative are payment arrangements, customer service, and delinquent accounts.

Claims collector vs collections representative overview

Claims CollectorCollections Representative
Yearly salary$36,591$34,015
Hourly rate$17.59$16.35
Growth rate-8%-8%
Number of jobs19,14285,275
Job satisfaction--
Most common degreeBachelor's Degree, 34%High School Diploma, 33%
Average age4646
Years of experience1212

Claims collector vs collections representative salary

Claims collectors and collections representatives have different pay scales, as shown below.

Claims CollectorCollections Representative
Average salary$36,591$34,015
Salary rangeBetween $30,000 And $43,000Between $26,000 And $42,000
Highest paying City-San Ramon, CA
Highest paying state-California
Best paying company-University of California, Berkeley
Best paying industry-Finance

Differences between claims collector and collections representative education

There are a few differences between a claims collector and a collections representative in terms of educational background:

Claims CollectorCollections Representative
Most common degreeBachelor's Degree, 34%High School Diploma, 33%
Most common majorBusinessBusiness
Most common college--

Claims collector vs collections representative demographics

Here are the differences between claims collectors' and collections representatives' demographics:

Claims CollectorCollections Representative
Average age4646
Gender ratioMale, 15.8% Female, 84.2%Male, 30.6% Female, 69.4%
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, 12.2% Unknown, 3.9% Hispanic or Latino, 18.9% Asian, 3.4% White, 61.1% American Indian and Alaska Native, 0.5%
LGBT Percentage8%8%

Differences between claims collector and collections representative 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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Collections representative example responsibilities.

  • Protect A/R assets by managing a portfolio of accounts to maximize gainful sales and reduce debt losses.
  • Maintain effective communication and utilize negotiation skills with internal and external customers to effect collections while maintaining customer good will.
  • Submit all reconsideration and appeals if need.
  • Conduct periodic data cleaning of queues balances deny with deny appeals.
  • Resolve valid or authorize NSF charges due to decline credit cards or ACH transactions.
  • Collect and count inventories, reconcile purchases and scan UPC's and inputting price information.
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Claims collector vs collections representative skills

Common claims collector skills
  • Patients, 27%
  • Appeals, 11%
  • Medicaid, 10%
  • Medical Insurance Claims, 8%
  • EOB, 6%
  • Outbound Calls, 5%
Common collections representative skills
  • Payment Arrangements, 14%
  • Customer Service, 13%
  • Delinquent Accounts, 9%
  • Past Due Accounts, 6%
  • Customer Accounts, 4%
  • Debt Repayment, 4%

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