What does a senior billing specialist do?
A senior billing specialist processes and manages the billing systems of their company. They are in charge of processing necessary payments to clients and business partners and generating and providing invoices. They keep a record of all payment information. They also manage payment due dates and remind clients of the payment deadlines.
Senior billing specialist responsibilities
Here are examples of responsibilities from real senior billing specialist resumes:
- Manage temporary and internship staff on Medicaid posting project.
- Revamp updating process for ICD-9 codes to ensure that federal/state changes.
- Code all claims interpret in EOMB's from Medicare & EOB from insurance companies.
- Resolve incorrect insurance payments, EOB denials, and any issues with outstanding accounts.
- Review outpatient medical records for abstraction of billable physician services and conversion of those services into CPT codes.
- Process claims reviewing ICD9-10 and CPT codes on to ensure correct submission on HCFA and UB92 claim forms.
- Maintain company and customer confidentiality per HIPAA compliance.
- Verify Medicaid/Medicare eligibility utilizing various applications and register patients in the system.
- Conduct monthly billing, reconciliations, and internal audits to identify discrepancies.
- Assign appropriate medical coding to accurately report the ambulance services provide to patients.
- Provide management and staff with problem resolution and new accounting procedures with Medicare and Medicaid receivables.
- Provide client specific reports to management: income statements, revenue forecasts, profitability reports and general ledger reconciliations.
- Evaluate medical coverage policies, maintain patient financial records and develop strategies to optimize reimbursement through follow-up and claim appeals.
- Review customer s statements, including taxation, billing and statement presentations before production and bill mail to customer home.
- Investigate erroneous and inconsistent EDI.
Senior billing specialist skills and personality traits
We calculated that 12% of Senior Billing Specialists are proficient in Patients, CPT, and Billing Issues. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Senior Billing Specialists that have these skills listed on their resume here:
- Patients, 12%
Assign appropriate medical coding to accurately report the ambulance services provided to patients.
- CPT, 5%
Filed UB04 and HCFA 1500 insurance claims - Knowledge of CPT coding for mental illness, modifiers and ICD-9 and ICD-10.
- Billing Issues, 5%
Analyzed systems, initiated development, and partnered with external organization to expedite resolution of billing issues.
- Billing System, 5%
Processed complex invoices for Government and Commercial Clients using either the client's billing system or JD Edwards Business System.
- Data Entry, 5%
Processed new and existing customer accounts including data entry.
- Billing Process, 5%
Participate in discussions to identify billing process improvement and support company initiatives and financial decisions.
Most senior billing specialists use their skills in "patients," "cpt," and "billing issues" to do their jobs. You can find more detail on essential senior billing specialist responsibilities here:
Communication skills. The most essential soft skill for a senior billing specialist to carry out their responsibilities is communication skills. This skill is important for the role because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, a senior billing specialist resume shows how their duties depend on communication skills: "maintain communication with secretaries and or partners regarding manual billing, electronic billing, and unapplied cash. "
Math skills. Many senior billing specialist duties rely on math skills. "the job duties of financial clerks includes calculating charges and updating financial records.," so a senior billing specialist will need this skill often in their role. This resume example is just one of many ways senior billing specialist responsibilities rely on math skills: "created reports and analyzed billing statistics for 11 billing cycles. "
Organizational skills. Another skill that relates to the job responsibilities of senior billing specialists is organizational skills. This skill is critical to many everyday senior billing specialist duties, as "financial clerks must be able to arrange files so they can find them quickly and efficiently." This example from a resume shows how this skill is used: "received merit based promotion from billing specialist through exemplification of strong leadership, organizational and process improvement skills. "
The three companies that hire the most senior billing specialists are:
- Highmark43 senior billing specialists jobs
- Change Healthcare23 senior billing specialists jobs
- Parsons20 senior billing specialists jobs
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Compare different senior billing specialists
Senior billing specialist vs. Biller
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.
These skill sets are where the common ground ends though. The responsibilities of a senior billing specialist are more likely to require skills like "financial reports," "deltek costpoint," "revenue recognition," and "client billing." On the other hand, a job as a biller requires skills like "math," "home health," "icd-10," and "dmv." As you can see, what employees do in each career varies considerably.
Billers earn the highest salaries when working in the manufacturing industry, with an average yearly salary of $42,377. On the other hand, senior billing specialists are paid more in the technology industry with an average salary of $64,965.On average, billers reach similar levels of education than senior billing specialists. Billers are 4.1% less likely to earn a Master's Degree and 0.2% less likely to graduate with a Doctoral Degree.Senior billing specialist vs. Collections coordinator
Usually working alongside a company's account receivables team, a collections coordinator is in charge of developing strategies to optimize the payment collection operations. Among their responsibilities include reaching out to clients through calls or correspondence to remind them of their payment obligations, arranging appointments, processing payments, arranging payment terms, and researching a client's communication information such as cellphone number, address, or email. Moreover, a collections coordinator must maintain an active communication line with staff while promoting and enforcing the company's policies and regulations.
While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that senior billing specialist responsibilities requires skills like "billing process," "financial reports," "medical claims," and "deltek costpoint." But a collections coordinator might use other skills in their typical duties, such as, "phone calls," "collection efforts," "account balances," and "collection process."
Collections coordinators earn a lower average salary than senior billing specialists. But collections coordinators earn the highest pay in the professional industry, with an average salary of $39,558. Additionally, senior billing specialists earn the highest salaries in the technology with average pay of $64,965 annually.collections coordinators earn similar levels of education than senior billing specialists in general. They're 0.9% less likely to graduate with a Master's Degree and 0.2% more likely to earn a Doctoral Degree.Senior billing specialist vs. Medical billing and coding externship
A billing and insurance coordinator is responsible for coordinating with employees from different departments of an organization for billing and insurance processing purposes. Billing and insurance coordinators sort mail for distribution to appropriate personnel, performing administrative and clerical duties as needed, managing and releasing of invoices under the manager's supervision, and responding to employees' inquiries and concerns. A billing and insurance coordinator must be highly analytical, as well as have excellent knowledge of the insurance disciplines and processes to assist the employees with their payments and benefits.
Some important key differences between the two careers include a few of the skills necessary to fulfill the responsibilities of each. Some examples from senior billing specialist resumes include skills like "cpt," "billing issues," "billing process," and "customer service," whereas a medical billing and coding externship is more likely to list skills in "insurance eligibility," "cpt-4," "patient charts," and "medical charts. "
When it comes to education, medical billing and coding externships tend to earn lower degree levels compared to senior billing specialists. In fact, they're 5.8% less likely to earn a Master's Degree, and 0.2% less likely to graduate with a Doctoral Degree.Senior billing specialist vs. Billing and insurance coordinator
Types of senior billing specialist
Updated January 8, 2025
