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Reimbursement specialist vs biller

The differences between reimbursement specialists and billers can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a reimbursement specialist, becoming a biller takes usually requires 1-2 years. Additionally, a biller has an average salary of $38,333, which is higher than the $38,273 average annual salary of a reimbursement specialist.

The top three skills for a reimbursement specialist include patients, customer service and appeals. The most important skills for a biller are patients, customer service, and data entry.

Reimbursement specialist vs biller overview

Reimbursement SpecialistBiller
Yearly salary$38,273$38,333
Hourly rate$18.40$18.43
Growth rate11%-3%
Number of jobs32,29235,740
Job satisfaction--
Most common degreeBachelor's Degree, 40%Associate Degree, 28%
Average age4546
Years of experience122

What does a reimbursement specialist do?

A reimbursement specialist is responsible for analyzing insurance documents, processing reimbursement claims, and releasing accurate billing statements for insurance claims. Reimbursement specialists must have excellent analytical skills, especially on performing clerical tasks to evaluate insurance cases, investigate cases, and update the account information of the clients on the database. They should also have impeccable communication skills and understanding of the insurance processes to be able to coordinate with the clients, explaining the procedures of their claims accurately, and coordinate with the insurance management to improve the claims processes.

What does a biller do?

Billers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services. They must manage all aspects of the medical billing process and make necessary contacts with insurance payers or patients to ensure maximum reimbursements. Billers must also provide services that are associated with internal and external customer billing and payment processing operations.

Reimbursement specialist vs biller salary

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

Reimbursement SpecialistBiller
Average salary$38,273$38,333
Salary rangeBetween $29,000 And $49,000Between $29,000 And $49,000
Highest paying CityLynchburg, VAWashington, DC
Highest paying stateVirginiaWashington
Best paying companyNovartisUC Merced
Best paying industryPharmaceuticalManufacturing

Differences between reimbursement specialist and biller education

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

Reimbursement SpecialistBiller
Most common degreeBachelor's Degree, 40%Associate Degree, 28%
Most common majorBusinessHealth Care Administration
Most common collegeUniversity of PennsylvaniaStanford University

Reimbursement specialist vs biller demographics

Here are the differences between reimbursement specialists' and billers' demographics:

Reimbursement SpecialistBiller
Average age4546
Gender ratioMale, 15.2% Female, 84.8%Male, 11.6% Female, 88.4%
Race ratioBlack or African American, 9.8% Unknown, 4.2% Hispanic or Latino, 16.9% Asian, 8.1% White, 59.8% American Indian and Alaska Native, 1.3%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 Percentage9%7%

Differences between reimbursement specialist and biller duties and responsibilities

Reimbursement specialist example responsibilities.

  • Manage the EDI clearinghouse rejections.
  • Process department payroll, order supplies, and manage petty-cash funds.
  • Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
  • Manage cases by aggressively directing the litigation process.
  • Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
  • Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
    • 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.
    • Show more

Reimbursement specialist vs biller skills

Common reimbursement specialist skills
  • Patients, 20%
  • Customer Service, 9%
  • Appeals, 6%
  • CPT, 5%
  • Medicare, 4%
  • Medicaid, 4%
Common biller skills
  • Patients, 18%
  • Customer Service, 10%
  • Data Entry, 6%
  • CPT, 5%
  • Medicaid, 4%
  • Patient Accounts, 4%

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Updated January 8, 2025

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