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Insurance biller vs medical biller coder

The differences between insurance billers and medical biller coders 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 medical biller coder takes usually requires 6-12 months. Additionally, a medical biller coder has an average salary of $38,756, 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 a medical biller coder are patients, medical billing, and ICD-10.

Insurance biller vs medical biller coder overview

Insurance BillerMedical Biller Coder
Yearly salary$35,822$38,756
Hourly rate$17.22$18.63
Growth rate-3%11%
Number of jobs84,36154,861
Job satisfaction-5
Most common degreeHigh School Diploma, 26%Associate Degree, 30%
Average age4445
Years of experience412

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 medical biller coder do?

A medical biller coder is responsible for handling the billing processes and insurance within a hospital, clinic, or similar facility. They must gather patient information and records to analyze and translate them into codes according to the insurance and medical guidelines. Moreover, it is crucial to verify all patient forms and ensure their accuracy as it will serve as a basis on essential documents and medical record-keeping. There may also be instances where a medical biller coder must devise payment plans for patients, communicate with families and guardians, and coordinate with physicians.

Insurance biller vs medical biller coder salary

Insurance billers and medical biller coders have different pay scales, as shown below.

Insurance BillerMedical Biller Coder
Average salary$35,822$38,756
Salary rangeBetween $28,000 And $44,000Between $30,000 And $49,000
Highest paying City-San Francisco, CA
Highest paying state-California
Best paying company-University of California, Berkeley
Best paying industry-Professional

Differences between insurance biller and medical biller coder education

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

Insurance BillerMedical Biller Coder
Most common degreeHigh School Diploma, 26%Associate Degree, 30%
Most common majorBusinessHealth Care Administration
Most common college-University of Pennsylvania

Insurance biller vs medical biller coder demographics

Here are the differences between insurance billers' and medical biller coders' demographics:

Insurance BillerMedical Biller Coder
Average age4445
Gender ratioMale, 6.9% Female, 93.1%Male, 10.0% Female, 90.0%
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, 9.3% Unknown, 4.2% Hispanic or Latino, 17.8% Asian, 8.0% White, 59.5% American Indian and Alaska Native, 1.3%
LGBT Percentage11%9%

Differences between insurance biller and medical biller coder 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

Medical biller coder example responsibilities.

  • Manage chart completion (ICD-9-CM and CPT coding), chart assembly and analysis and patient information privacy/security.
  • Use EMR software to manage patient records and files reinforce and uphold patient confidentiality as required by HIPAA and clinic.
  • Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
  • Bill insurance claims using HCFA 1500 and UB-92 form.
  • Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
  • Have experience in all commercial insurances and government insurances including Medicare and Medicaid.
  • Show more

Insurance biller vs medical biller coder skills

Common insurance biller skills
  • Patients, 15%
  • Medical Terminology, 10%
  • CPT, 8%
  • Medi-Cal, 6%
  • Data Entry, 5%
  • Insurance Claims, 5%
Common medical biller coder skills
  • Patients, 17%
  • Medical Billing, 5%
  • ICD-10, 5%
  • Customer Service, 5%
  • CPT-4, 4%
  • HCPCS, 4%

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