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Medicare billing specialist vs biller

The differences between medicare billing specialists 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 medicare billing specialist and a biller. Additionally, a biller has an average salary of $38,333, which is higher than the $36,773 average annual salary of a medicare billing specialist.

The top three skills for a medicare billing specialist include patients, patient accounts and data entry. The most important skills for a biller are patients, customer service, and data entry.

Medicare billing specialist vs biller overview

Medicare Billing SpecialistBiller
Yearly salary$36,773$38,333
Hourly rate$17.68$18.43
Growth rate-3%-3%
Number of jobs54,59335,740
Job satisfaction--
Most common degreeAssociate Degree, 34%Associate Degree, 28%
Average age4646
Years of experience22

Medicare billing specialist vs biller salary

Medicare billing specialists and billers have different pay scales, as shown below.

Medicare Billing SpecialistBiller
Average salary$36,773$38,333
Salary rangeBetween $30,000 And $44,000Between $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 medicare billing specialist and biller education

There are a few differences between a medicare billing specialist and a biller in terms of educational background:

Medicare Billing SpecialistBiller
Most common degreeAssociate Degree, 34%Associate Degree, 28%
Most common majorBusinessHealth Care Administration
Most common collegeUniversity of PennsylvaniaStanford University

Medicare billing specialist vs biller demographics

Here are the differences between medicare billing specialists' and billers' demographics:

Medicare Billing SpecialistBiller
Average age4646
Gender ratioMale, 9.3% Female, 90.7%Male, 11.6% Female, 88.4%
Race ratioBlack or African American, 10.3% Unknown, 4.4% Hispanic or Latino, 16.5% Asian, 7.9% White, 59.8% American Indian and Alaska Native, 1.0%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 medicare billing specialist and biller duties and responsibilities

Medicare billing specialist example responsibilities.

  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
  • Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
  • Call Medicare to re-open claims due to date, CPT, units, or other changes.
  • Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
  • Comply with all HIPPA laws.
  • Show more

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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Medicare billing specialist vs biller skills

Common medicare billing specialist skills
  • Patients, 20%
  • Patient Accounts, 6%
  • Data Entry, 5%
  • Medicare, 5%
  • Medicaid, 5%
  • CPT, 5%
Common biller skills
  • Patients, 18%
  • Customer Service, 10%
  • Data Entry, 6%
  • CPT, 5%
  • Medicaid, 4%
  • Patient Accounts, 4%

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