Medical insurance biller vs insurance verification specialist

The differences between medical insurance billers and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, a medical insurance biller has an average salary of $36,575, which is higher than the $33,043 average annual salary of an insurance verification specialist.

The top three skills for a medical insurance biller include patients, medical terminology and appeals. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Medical insurance biller vs insurance verification specialist overview

	Medical Insurance Biller	Insurance Verification Specialist
Yearly salary	$36,575	$33,043
Hourly rate	$17.58	$15.89
Growth rate	-3%	6%
Number of jobs	128,300	71,688
Job satisfaction	-	-
Most common degree	Diploma, 29%	Associate Degree, 27%
Average age	46	46
Years of experience	2	-

Medical insurance biller vs insurance verification specialist salary

Medical insurance billers and insurance verification specialists have different pay scales, as shown below.

	Medical Insurance Biller	Insurance Verification Specialist
Average salary	$36,575	$33,043
Salary range	Between $31,000 And $42,000	Between $28,000 And $37,000
Highest paying City	-	Madison, WI
Highest paying state	-	New Hampshire
Best paying company	-	St. Luke's Cataract & Laser Institute
Best paying industry	-	Pharmaceutical

Differences between medical insurance biller and insurance verification specialist education

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

	Medical Insurance Biller	Insurance Verification Specialist
Most common degree	Diploma, 29%	Associate Degree, 27%
Most common major	Insurance	Health Care Administration
Most common college	University of Pennsylvania	University of Pennsylvania

Medical insurance biller vs insurance verification specialist demographics

Here are the differences between medical insurance billers' and insurance verification specialists' demographics:

	Medical Insurance Biller	Insurance Verification Specialist
Average age	46	46
Gender ratio	Male, 10.0% Female, 90.0%	Male, 11.4% Female, 88.6%
Race ratio	Black or African American, 10.7% Unknown, 4.3% Hispanic or Latino, 21.0% Asian, 7.0% White, 56.1% American Indian and Alaska Native, 0.9%	Black or African American, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage	7%	7%

Differences between medical insurance biller and insurance verification specialist duties and responsibilities

Medical insurance biller example responsibilities.

Manage all aspects of AR including writing letters for medical necessity, claim denials, bundling issues and charge capture.
Work on computer systems Laserfiche and MedFm
Update patient demographic and create new accounts in AS400.
Address student's concerns, work with academic and attendance appeals boards.
Download and organize charts from hospital's website into Laserfiche before coding.
Require the ability to read and analyze EOB's from all insurance companies.

Insurance verification specialist example responsibilities.

Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
Confirm correct charges base on HCPCS codes.
Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
Document outbound communication from providers and veterans.

Medical insurance biller vs insurance verification specialist skills

Common medical insurance biller skills

Patients, 26%
Medical Terminology, 5%
Appeals, 5%
Data Entry, 5%
Medicaid, 4%
Insurance Carriers, 4%

Common insurance verification specialist skills

Patients, 25%
Insurance Verification, 15%
Customer Service, 7%
Insurance Eligibility, 5%
Data Entry, 4%
Medical Terminology, 4%

Medical Insurance Biller vs. similar jobs

Medical Insurance Biller related careers

Medical Insurance Biller related jobs

What similar roles do

Zippia Careers
Office and Administrative Industry
Medical Insurance Biller
Medical Insurance Biller vs Insurance Verification Specialist

Updated January 8, 2025

Browse office and administrative jobs