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Insurance biller vs insurance representative

The differences between insurance billers and insurance representatives can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance representative has an average salary of $35,958, which is higher than the $35,822 average annual salary of an insurance biller.

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

Insurance biller vs insurance representative overview

Insurance BillerInsurance Representative
Yearly salary$35,822$35,958
Hourly rate$17.22$17.29
Growth rate-3%6%
Number of jobs84,36187,843
Job satisfaction--
Most common degreeHigh School Diploma, 26%Bachelor's Degree, 45%
Average age4446
Years of experience4-

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 an insurance representative do?

An insurance representative serves as a client's point of contact in insurance companies. Their responsibilities include researching client opportunities, reaching out to potential clients to offer products and services, discussing terms and policies, providing detailed advice, and assisting in every procedure, ensuring convenience and client satisfaction. Aside from securing sales, an insurance representative may also process applications and claims while adhering to the company's policies and regulations. Furthermore, they may also perform clerical tasks such as handling calls and correspondence, arranging appointments, and maintaining records of all transactions.

Insurance biller vs insurance representative salary

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

Insurance BillerInsurance Representative
Average salary$35,822$35,958
Salary rangeBetween $28,000 And $44,000Between $29,000 And $44,000
Highest paying City-Lacey, WA
Highest paying state-Washington
Best paying company-Santander Bank
Best paying industry-Finance

Differences between insurance biller and insurance representative education

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

Insurance BillerInsurance Representative
Most common degreeHigh School Diploma, 26%Bachelor's Degree, 45%
Most common majorBusinessBusiness
Most common college-University of Pennsylvania

Insurance biller vs insurance representative demographics

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

Insurance BillerInsurance Representative
Average age4446
Gender ratioMale, 6.9% Female, 93.1%Male, 29.8% Female, 70.2%
Race ratioBlack 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, 9.4% Unknown, 3.6% Hispanic or Latino, 16.1% Asian, 4.9% White, 65.9% American Indian and Alaska Native, 0.1%
LGBT Percentage11%7%

Differences between insurance biller and insurance 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.
  • Show more

Insurance representative example responsibilities.

  • Cold-Cal to generate leads for individual life and disability insurance and annuities.
  • Confer with AAA members to discuss options and plans for the insurance needs of family and services provide.
  • Promote AAA insurance to current, former, and potentially new customers by providing quality and accurate product knowledge.
  • Assist field agents with Medicare applications, review Medicaid state system regarding eligibility.
  • Review medical web sites and Medicare inquiry system to determine eligibility for Medicaid and other insurance policies.
  • Facilitate communications between doctors, hospitals, third party insurance companies and patients to obtain and verify patient billing information.
  • Show more

Insurance biller vs insurance representative skills

Common insurance biller skills
  • Patients, 15%
  • Medical Terminology, 10%
  • CPT, 8%
  • Medi-Cal, 6%
  • Data Entry, 5%
  • Insurance Claims, 5%
Common insurance representative skills
  • Customer Service, 18%
  • Patients, 16%
  • Health Insurance, 6%
  • Medicaid, 4%
  • Insurance Coverage, 4%
  • Data Entry, 4%

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