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Medical billing, receptionist vs billing representative

The differences between medical billings, receptionist and billing representatives 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, receptionist and a billing representative. Additionally, a billing representative has an average salary of $35,002, which is higher than the $34,622 average annual salary of a medical billing, receptionist.

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

Medical billing, receptionist vs billing representative overview

Medical Billing, ReceptionistBilling Representative
Yearly salary$34,622$35,002
Hourly rate$16.65$16.83
Growth rate-3%-3%
Number of jobs115,71495,425
Job satisfaction--
Most common degreeAssociate Degree, 26%Bachelor's Degree, 30%
Average age4646
Years of experience22

What does a medical billing, receptionist do?

A medical billing receptionist serves as the main point of contact in a hospital. Their responsibilities revolve around greeting patients and attending to their needs, gathering and maintaining records, and checking-in patients. They also have administrative support tasks such as answering calls and responding to inquiries, arranging appointments and schedules, producing reports, keeping documentation, and handling billing processes, including insurance. Moreover, a medical billing receptionist must be alert and proactive as the conditions in a hospital can be very unpredictable.

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.

Medical billing, receptionist vs billing representative salary

Medical billings, receptionist and billing representatives have different pay scales, as shown below.

Medical Billing, ReceptionistBilling Representative
Average salary$34,622$35,002
Salary rangeBetween $28,000 And $41,000Between $28,000 And $42,000
Highest paying CityBoston, MAWorcester, MA
Highest paying stateMassachusettsMassachusetts
Best paying companyUniversity of California, BerkeleyRelevante
Best paying industryTechnologyTechnology

Differences between medical billing, receptionist and billing representative education

There are a few differences between a medical billing, receptionist and a billing representative in terms of educational background:

Medical Billing, ReceptionistBilling Representative
Most common degreeAssociate Degree, 26%Bachelor's Degree, 30%
Most common majorHealth Care AdministrationBusiness
Most common collegeStanford UniversityStanford University

Medical billing, receptionist vs billing representative demographics

Here are the differences between medical billings, receptionist' and billing representatives' demographics:

Medical Billing, ReceptionistBilling Representative
Average age4646
Gender ratioMale, 9.5% Female, 90.5%Male, 15.7% Female, 84.3%
Race ratioBlack or African American, 9.9% Unknown, 4.3% Hispanic or Latino, 21.9% Asian, 6.8% White, 56.4% American Indian and Alaska Native, 0.8%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 medical billing, receptionist and billing representative duties and responsibilities

Medical billing, receptionist example responsibilities.

  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Revise CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
  • Review and research ICD-9 and CPT codes that are denied by payers, and contact physician offices to assist with correction.
  • Submit secondary insurance claims with primary insurance EOB.
  • Facilitate medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.
  • Discuss physicians' choice of E/M level when in question.
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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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Medical billing, receptionist vs billing representative skills

Common medical billing, receptionist skills
  • Patients, 21%
  • Medical Billing, 7%
  • Data Entry, 5%
  • Customer Service, 5%
  • CPT, 4%
  • Medicaid, 4%
Common billing representative skills
  • Patients, 18%
  • Customer Service, 13%
  • Data Entry, 6%
  • Medical Billing, 5%
  • Medicaid, 5%
  • Patient Accounts, 4%

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