Medical billing clerk vs biller

The differences between medical 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 a medical billing clerk and a biller. Additionally, a biller has an average salary of $38,333, which is higher than the $33,566 average annual salary of a medical billing clerk.

The top three skills for a medical billing clerk include patients, medical billing and healthcare. The most important skills for a biller are patients, customer service, and data entry.

Medical billing clerk vs biller overview

	Medical Billing Clerk	Biller
Yearly salary	$33,566	$38,333
Hourly rate	$16.14	$18.43
Growth rate	-3%	-3%
Number of jobs	164,870	35,740
Job satisfaction	-	-
Most common degree	Associate Degree, 30%	Associate Degree, 28%
Average age	46	46
Years of experience	2	2

What does a medical billing clerk do?

A medical billing clerk is primarily in charge of processing payments and creating billing arrangements in clinics and hospitals. Among their responsibilities include gathering and verifying patient identification, handling insurance information, coding, updating databases, and maintaining records. It is also their responsibility to assist patients by filling out forms, answering their inquiries, and referring them to other services. Moreover, a medical billing clerk must monitor patient accounts and follow-up on delinquent patient accounts, coordinating with collection agencies as needed.

What does a biller do?

Billers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services. They must manage all aspects of the medical billing process and make necessary contacts with insurance payers or patients to ensure maximum reimbursements. Billers must also provide services that are associated with internal and external customer billing and payment processing operations.

Medical billing clerk vs biller salary

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

	Medical Billing Clerk	Biller
Average salary	$33,566	$38,333
Salary range	Between $27,000 And $40,000	Between $29,000 And $49,000
Highest paying City	San Leandro, CA	Washington, DC
Highest paying state	Washington	Washington
Best paying company	iCare	UC Merced
Best paying industry	Health Care	Manufacturing

Differences between medical billing clerk and biller education

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

	Medical Billing Clerk	Biller
Most common degree	Associate Degree, 30%	Associate Degree, 28%
Most common major	Health Care Administration	Health Care Administration
Most common college	Stanford University	Stanford University

Medical billing clerk vs biller demographics

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

	Medical Billing Clerk	Biller
Average age	46	46
Gender ratio	Male, 11.3% Female, 88.7%	Male, 11.6% Female, 88.4%
Race ratio	Black or African American, 10.4% Unknown, 4.3% Hispanic or Latino, 21.9% Asian, 6.8% White, 55.8% 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 Percentage	7%	7%

Differences between medical billing clerk and biller duties and responsibilities

Medical billing clerk example responsibilities.

Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
Interact with patients as part of the quality assurance process (follow-up, EHR confirmation, billing confirmation).
Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assort issues with outstanding accounts.
Utilize medical terminology and follow HIPAA guidelines.
Bill Magellan through Nextgen system.
Double checked CMS-1500 form before posting it out to the insurance companies.

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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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Medical billing clerk vs biller skills

Common medical billing clerk skills

Patients, 18%
Medical Billing, 10%
Healthcare, 7%
Data Entry, 7%
Customer Service, 6%
Medicaid, 5%

Common biller skills

Patients, 18%
Customer Service, 10%
Data Entry, 6%
CPT, 5%
Medicaid, 4%
Patient Accounts, 4%

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Updated January 8, 2025

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