Insurance biller vs billing representative

The differences between insurance billers and billing representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an insurance biller, becoming a billing representative takes usually requires 1-2 years. Additionally, an insurance biller has an average salary of $35,822, which is higher than the $35,002 average annual salary of a billing representative.

The top three skills for an insurance biller include patients, medical terminology and CPT. The most important skills for a billing representative are patients, customer service, and data entry.

Insurance biller vs billing representative overview

	Insurance Biller	Billing Representative
Yearly salary	$35,822	$35,002
Hourly rate	$17.22	$16.83
Growth rate	-3%	-3%
Number of jobs	84,361	95,425
Job satisfaction	-	-
Most common degree	High School Diploma, 26%	Bachelor's Degree, 30%
Average age	44	46
Years of experience	4	2

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.

What does a billing representative do?

A billing representative assists with the overall operations of the organization's billing department. Billing representatives post payments timely on the database, update account statements, generate financial reports, release invoices, and resolve account discrepancies. They also perform client accounts reconciliation as needed, monitor account receivables, review overdated balance, and notify clients of payment updates to ensure accurate and timely billing. A billing representative must have strong analytical and communication skills to manage clients' accounts, as well as comprehensive knowledge on the accounting industry to explain the payment terms and policies of an organization to a client.

Insurance biller vs billing representative salary

Insurance billers and billing representatives have different pay scales, as shown below.

	Insurance Biller	Billing Representative
Average salary	$35,822	$35,002
Salary range	Between $28,000 And $44,000	Between $28,000 And $42,000
Highest paying City	-	Worcester, MA
Highest paying state	-	Massachusetts
Best paying company	-	Relevante
Best paying industry	-	Technology

Differences between insurance biller and billing representative education

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

	Insurance Biller	Billing Representative
Most common degree	High School Diploma, 26%	Bachelor's Degree, 30%
Most common major	Business	Business
Most common college	-	Stanford University

Insurance biller vs billing representative demographics

Here are the differences between insurance billers' and billing representatives' demographics:

	Insurance Biller	Billing Representative
Average age	44	46
Gender ratio	Male, 6.9% Female, 93.1%	Male, 15.7% Female, 84.3%
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, 10.4% Unknown, 4.3% Hispanic or Latino, 19.9% Asian, 7.3% White, 57.2% American Indian and Alaska Native, 0.9%
LGBT Percentage	11%	7%

Differences between insurance biller and billing representative duties and responsibilities

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.

Billing representative example responsibilities.

Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
Submit and receive Medicare and Medicaid claims electronically on a daily basis.
Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.

Insurance biller vs billing representative skills

Common insurance biller skills

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

Common billing representative skills

Patients, 18%
Customer Service, 13%
Data Entry, 6%
Medical Billing, 5%
Medicaid, 5%
Patient Accounts, 4%

Insurance Biller vs. similar jobs

Insurance Biller related careers

Insurance Biller related jobs

What similar roles do

Zippia Careers
Office and Administrative Industry
Insurance Biller
Insurance Biller vs Billing Representative

Updated January 8, 2025

Browse office and administrative jobs