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Patient service representative vs billing representative

The differences between patient service representatives and billing representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a patient service representative, becoming a billing representative takes usually requires 1-2 years. Additionally, a billing representative has an average salary of $35,002, which is higher than the $32,476 average annual salary of a patient service representative.

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

Patient service representative vs billing representative overview

Patient Service RepresentativeBilling Representative
Yearly salary$32,476$35,002
Hourly rate$15.61$16.83
Growth rate-4%-3%
Number of jobs165,92095,425
Job satisfaction--
Most common degreeBachelor's Degree, 32%Bachelor's Degree, 30%
Average age4046
Years of experience42

What does a patient service representative do?

A Patient Service Representative is responsible for coordinating with patients, ensuring accuracy and satisfaction at all times. The duties of a Patient Service Representative revolves around greeting and responding to patients, offering assistance in documentation, gathering and maintaining their personal information, and even communicating with the family or guardian. They also have to collect payments and process insurance details, obtain medical history, and even keep the patients updated in various aspects. Aside from this, it is crucial for a Representative coordinate with supervisors or personnel in-charge at all times.

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.

Patient service representative vs billing representative salary

Patient service representatives and billing representatives have different pay scales, as shown below.

Patient Service RepresentativeBilling Representative
Average salary$32,476$35,002
Salary rangeBetween $27,000 And $38,000Between $28,000 And $42,000
Highest paying CitySeattle, WAWorcester, MA
Highest paying stateVermontMassachusetts
Best paying companyUniversity of California, BerkeleyRelevante
Best paying industryHealth CareTechnology

Differences between patient service representative and billing representative education

There are a few differences between a patient service representative and a billing representative in terms of educational background:

Patient Service RepresentativeBilling Representative
Most common degreeBachelor's Degree, 32%Bachelor's Degree, 30%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Patient service representative vs billing representative demographics

Here are the differences between patient service representatives' and billing representatives' demographics:

Patient Service RepresentativeBilling Representative
Average age4046
Gender ratioMale, 11.9% Female, 88.1%Male, 15.7% Female, 84.3%
Race ratioBlack or African American, 10.3% Unknown, 5.3% Hispanic or Latino, 21.5% Asian, 6.3% White, 55.7% American Indian and Alaska Native, 0.7%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 patient service representative and billing representative duties and responsibilities

Patient service representative example responsibilities.

  • Manage the daily release of charges to A/R.
  • Adhere with all state and federal regulations such as EMTALA and HIPPA requirements and appropriately collect co-payments and deductibles from patients.
  • Provide caring and compassion to elderly and developmentally disable patients.
  • Demonstrate respect, compassion and confidentiality for patients and family members.
  • Provide professional and accurate service to schedule patient appointments, check-in and verify insurance eligibility.
  • Provide quality customer service to patients and observe all protocols regarding HIPPA regulations to ensure patient confidentiality.
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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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Patient service representative vs billing representative skills

Common patient service representative skills
  • Patients, 20%
  • Customer Service, 12%
  • Excellent Interpersonal, 7%
  • Check-In, 7%
  • Patient Service, 6%
  • Excellent Organizational, 6%
Common billing representative skills
  • Patients, 18%
  • Customer Service, 13%
  • Data Entry, 6%
  • Medical Billing, 5%
  • Medicaid, 5%
  • Patient Accounts, 4%

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