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Insurance follow up representative vs billing representative

The differences between insurance follow up representatives and billing representatives can be seen in a few details. Each job has different responsibilities and duties. Additionally, a billing representative has an average salary of $35,002, which is higher than the $33,022 average annual salary of an insurance follow up representative.

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

Insurance follow up representative vs billing representative overview

Insurance Follow Up RepresentativeBilling Representative
Yearly salary$33,022$35,002
Hourly rate$15.88$16.83
Growth rate6%-3%
Number of jobs57,03495,425
Job satisfaction5-
Most common degreeAssociate Degree, 28%Bachelor's Degree, 30%
Average age4646
Years of experience-2

What does an insurance follow up representative do?

Insurance Follow Up Representatives are responsible for processing and bringing claim resolution to outstanding medical insurance accounts for a healthcare organization. Their duties include managing status account updates, assessing the course of action for accounts, conducting outbound calls, handling incoming calls, and processing correspondences with relevant parties involved. They also perform reconciliation, issue escalation to team leaders, and ensure compliance with company policies and regulations.

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 follow up representative vs billing representative salary

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

Insurance Follow Up RepresentativeBilling Representative
Average salary$33,022$35,002
Salary rangeBetween $26,000 And $41,000Between $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 follow up representative and billing representative education

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

Insurance Follow Up RepresentativeBilling Representative
Most common degreeAssociate Degree, 28%Bachelor's Degree, 30%
Most common majorHealth Care AdministrationBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Insurance follow up representative vs billing representative demographics

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

Insurance Follow Up RepresentativeBilling Representative
Average age4646
Gender ratioMale, 11.3% Female, 88.7%Male, 15.7% Female, 84.3%
Race ratioBlack or African American, 9.2% Unknown, 3.6% Hispanic or Latino, 15.7% Asian, 4.8% White, 66.5% American Indian and Alaska Native, 0.1%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 Percentage7%7%

Differences between insurance follow up representative and billing representative duties and responsibilities

Insurance follow up representative example responsibilities.

  • Conduct analysis/research and lead dispute resolutions in appeals processes.
  • Cold-Cal to generate leads for individual life and disability insurance and annuities.
  • Network with various patient accounts financial officers of several medical centers and hospitals to certify uninsure patients for Medicaid.
  • Study ICD-9 and ICD-10 to gain further knowledge of the new changes coming within the coding.
  • Maintain all HIPPA rules, regulations and guidelines.
  • Apply all HIPPA rules and regulations to all accounts.
  • Show more

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.
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Insurance follow up representative vs billing representative skills

Common insurance follow up representative skills
  • Patients, 17%
  • Customer Service, 10%
  • Medical Billing, 7%
  • Patient Accounts, 7%
  • Phone Calls, 6%
  • Appeals, 6%
Common billing representative skills
  • Patients, 18%
  • Customer Service, 13%
  • Data Entry, 6%
  • Medical Billing, 5%
  • Medicaid, 5%
  • Patient Accounts, 4%