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Insurance billing clerk vs biller

The differences between insurance billing clerks and billers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both an insurance billing clerk and a biller. Additionally, a biller has an average salary of $38,333, which is higher than the $27,713 average annual salary of an insurance billing clerk.

The top three skills for an insurance billing clerk include patients, scheduling appointments and CPT. The most important skills for a biller are patients, customer service, and data entry.

Insurance billing clerk vs biller overview

Insurance Billing ClerkBiller
Yearly salary$27,713$38,333
Hourly rate$13.32$18.43
Growth rate-3%-3%
Number of jobs118,44435,740
Job satisfaction--
Most common degreeAssociate Degree, 32%Associate Degree, 28%
Average age4646
Years of experience22

Insurance billing clerk vs biller salary

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

Insurance Billing ClerkBiller
Average salary$27,713$38,333
Salary rangeBetween $20,000 And $38,000Between $29,000 And $49,000
Highest paying City-Washington, DC
Highest paying state-Washington
Best paying company-UC Merced
Best paying industry-Manufacturing

Differences between insurance billing clerk and biller education

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

Insurance Billing ClerkBiller
Most common degreeAssociate Degree, 32%Associate Degree, 28%
Most common majorBusinessHealth Care Administration
Most common collegeUniversity of PennsylvaniaStanford University

Insurance billing clerk vs biller demographics

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

Insurance Billing ClerkBiller
Average age4646
Gender ratioMale, 4.7% Female, 95.3%Male, 11.6% Female, 88.4%
Race ratioBlack or African American, 13.1% Unknown, 4.2% Hispanic or Latino, 16.5% Asian, 7.5% White, 57.9% American Indian and Alaska Native, 0.8%Black or African American, 9.4% Unknown, 4.3% Hispanic or Latino, 21.8% Asian, 6.8% White, 56.9% American Indian and Alaska Native, 0.8%
LGBT Percentage7%7%

Differences between insurance billing clerk and biller duties and responsibilities

Insurance billing clerk example responsibilities.

  • Manage the patient education program, responsible for ensuring patients are fully educate regarding medical conditions and prescribe medications.
  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Receive knowledge of CPT and ICD-9 codes used for insurance billing purposes.
  • Verify Medicaid insurance eligibility prior to dispensing patient's orders.
  • Maintain direct responsibility for contacting both patients and insurance carriers in a timely matter regarding ineligibility.
  • Submit secondary insurance after primary has paid and submit EOB's with insurance forms.
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Biller example responsibilities.

  • Manage payer requirements, regulatory compliance requirements, HIPAA privacy and security requirements, medical terminology and general revenue cycle procedures.
  • Ensure all ICD-9 and CPT coding are correct and forward any errors to the appropriate departments to correct.
  • Prepare forms for CPT-4 and ICD-9 coding.
  • Acquire a working knowledge of revenue codes and HCPCS codes.
  • Answer phones, review, verifying insurance and ICD-9 coding of service reports.
  • Maintain confidentiality of all pertinent client information in compliance with HIPAA laws and regulations.
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Insurance billing clerk vs biller skills

Common insurance billing clerk skills
  • Patients, 28%
  • Scheduling Appointments, 6%
  • CPT, 6%
  • Patient Appointments, 5%
  • Medicaid, 5%
  • Patient Registration, 4%
Common biller skills
  • Patients, 18%
  • Customer Service, 10%
  • Data Entry, 6%
  • CPT, 5%
  • Medicaid, 4%
  • Patient Accounts, 4%

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