Medicare billing specialist vs billing administrator

The differences between medicare billing specialists and billing administrators 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 billing administrator. Additionally, a billing administrator has an average salary of $39,442, 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 billing administrator are data entry, patients, and billing issues.

Medicare billing specialist vs billing administrator overview

	Medicare Billing Specialist	Billing Administrator
Yearly salary	$36,773	$39,442
Hourly rate	$17.68	$18.96
Growth rate	-3%	-3%
Number of jobs	54,593	71,952
Job satisfaction	-	-
Most common degree	Associate Degree, 34%	Bachelor's Degree, 47%
Average age	46	46
Years of experience	2	2

Medicare billing specialist vs billing administrator salary

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

	Medicare Billing Specialist	Billing Administrator
Average salary	$36,773	$39,442
Salary range	Between $30,000 And $44,000	Between $30,000 And $51,000
Highest paying City	-	Washington, DC
Highest paying state	-	New Jersey
Best paying company	-	Buckley King
Best paying industry	-	Construction

Differences between medicare billing specialist and billing administrator education

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

	Medicare Billing Specialist	Billing Administrator
Most common degree	Associate Degree, 34%	Bachelor's Degree, 47%
Most common major	Business	Business
Most common college	University of Pennsylvania	University of Pennsylvania

Medicare billing specialist vs billing administrator demographics

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

	Medicare Billing Specialist	Billing Administrator
Average age	46	46
Gender ratio	Male, 9.3% Female, 90.7%	Male, 16.7% Female, 83.3%
Race ratio	Black 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, 10.5% Unknown, 4.3% Hispanic or Latino, 21.1% Asian, 7.2% White, 55.9% American Indian and Alaska Native, 0.9%
LGBT Percentage	7%	7%

Differences between medicare billing specialist and billing administrator 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.

Billing administrator example responsibilities.

Manage facility procedures relate to insurance and billing and solve patients' queries regarding their insurance renewal and expiry.
Perform coding of inpatient/outpatient office, endoscopy, & pathology services and ensure proper assignment of ICD-9 and CPT codes.
Experience with CMS FISS systems.
Coordinate HCPC and ICD-9 codes for billing.
Reconcile JDE invoicing reports to CMS invoicing reports.
Implement corporate or departmental policies, HIPAA compliance, and service standards in conjunction with clinical and billing.

Medicare billing specialist vs billing administrator skills

Common medicare billing specialist skills

Patients, 20%
Patient Accounts, 6%
Data Entry, 5%
Medicare, 5%
Medicaid, 5%
CPT, 5%

Common billing administrator skills

Data Entry, 12%
Patients, 12%
Billing Issues, 7%
Financial Reports, 4%
Billing System, 4%
Medical Billing, 3%

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Medicare Billing Specialist
Medicare Billing Specialist vs Billing Administrator

Updated January 8, 2025

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