What does a Medical Billing, Receptionist do?
A medical billing receptionist serves as the main point of contact in a hospital. Their responsibilities revolve around greeting patients and attending to their needs, gathering and maintaining records, and checking-in patients. They also have administrative support tasks such as answering calls and responding to inquiries, arranging appointments and schedules, producing reports, keeping documentation, and handling billing processes, including insurance. Moreover, a medical billing receptionist must be alert and proactive as the conditions in a hospital can be very unpredictable.
Medical billing, receptionist responsibilities
Here are examples of responsibilities from real medical billing, receptionist resumes:
- Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
- Revise CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
- Review and research ICD-9 and CPT codes that are denied by payers, and contact physician offices to assist with correction.
- Submit secondary insurance claims with primary insurance EOB.
- Facilitate medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.
- Discuss physicians' choice of E/M level when in question.
- Audit level of E/M and code outpatient procedures and apply DX codes.
- Submit insurance claims, edit billing lists, edit diagnosis codes, edit HCPCS codes
- Code surgeries for pre-op visits for the purpose of collecting surgery deposits require by physicians.
- Verify insurance, billing, payments, posting charges, coding ICD-10, and claims processing.
- Document detail notes on each account work every time it is worked to collect outstanding A/R.
- Head claims, follow-ups, accounts receivables, billing, and appeals throughout the surgery center.
- Perform bookkeeping work, including posting data, EMR and keeping other records concerning costs of goods and services.
- Assign codes on all diagnosis, procedures and supplies with descriptive ICD-9 and HCPCS codes for all patient encounters for reimbursement.
- Reduce denied claims, claims on hold, and age A/R accounts by researching, resolving, then documenting the issue.
Medical billing, receptionist skills and personality traits
We calculated that 21% of Medical Billings, Receptionist are proficient in Patients, Medical Billing, and Data Entry. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Medical Billings, Receptionist that have these skills listed on their resume here:
- Patients, 21%
Evaluated and reviewed patients accounts to establish any duplicate payments to either primary insurance, secondary insurance, or patient reimbursement.
- Medical Billing, 7%
Worked in a temporary capacity on a variety of assignments including medical reception, medical billing, and medical customer service
- Data Entry, 5%
Provided administrative support when needed including reception duties, greeting patients, updating demographics and data entry onto Electronic health records.
- Customer Service, 5%
Verified eligibility customer service obtain authorization and verify medical insurance
- CPT, 4%
Prepare and proofread invoices (for patient accuracy and correct coding for CPT codes, Provider codes and A/R Class).
- Medicaid, 4%
Analyzed data accumulated, such as disability allowances, Medicare, Medicaid, social security and insurance.
Most medical billings, receptionist use their skills in "patients," "medical billing," and "data entry" to do their jobs. You can find more detail on essential medical billing, receptionist responsibilities here:
Communication skills. One of the key soft skills for a medical billing, receptionist to have is communication skills. You can see how this relates to what medical billings, receptionist do because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, a medical billing, receptionist resume shows how medical billings, receptionist use communication skills: "provide front desk communications schedule client appointments maintain data entry mass mailings cold calling book keeping patient contact. "
Math skills. Many medical billing, receptionist duties rely on math skills. "the job duties of financial clerks includes calculating charges and updating financial records.," so a medical billing, receptionist will need this skill often in their role. This resume example is just one of many ways medical billing, receptionist responsibilities rely on math skills: "used icd9 coding and cpt , work closely with doctors typing an math skills ., proper phone editic. "
Organizational skills. Another skill that relates to the job responsibilities of medical billings, receptionist is organizational skills. This skill is critical to many everyday medical billing, receptionist 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: "demonstrated strong attention to detail and organizational skills verifying patient insurance in a medical setting. "
The three companies that hire the most medical billing, receptionists are:
- ICONMA5 medical billings, receptionist jobs
- Robert Half4 medical billings, receptionist jobs
- Addison Group2 medical billings, receptionist jobs
Choose from 10+ customizable medical billing, receptionist resume templates
Build a professional medical billing, receptionist resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your medical billing, receptionist resume.
Compare different medical billings, receptionist
Medical billing, receptionist vs. Insurance coordinator
An insurance coordinator is responsible for evaluating and validating insurance information to verify claims and process the necessary claims resolutions for parties. Insurance coordinators submit claims statements timely to the insurance officers for review, coordinate with the clients for inquiries and updates, and reach out to medical institutions for accurate filing of payments. An insurance coordinator must have excellent communication and analytical skills to assess reports, resolve claims discrepancies, and escalate high-level complaints to the officers for immediate action.
While similarities exist, there are also some differences between medical billings, receptionist and insurance coordinator. For instance, medical billing, receptionist responsibilities require skills such as "appeals," "icd-10," "submit claims," and "charge entry." Whereas a insurance coordinator is skilled in "strong customer service," "health insurance," "patient care," and "financial arrangements." This is part of what separates the two careers.
Insurance coordinators really shine in the pharmaceutical industry with an average salary of $33,609. Comparatively, medical billings, receptionist tend to make the most money in the technology industry with an average salary of $35,394.The education levels that insurance coordinators earn slightly differ from medical billings, receptionist. In particular, insurance coordinators are 1.8% more likely to graduate with a Master's Degree than a medical billing, receptionist. Additionally, they're 0.2% more likely to earn a Doctoral Degree.Medical billing, receptionist 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.
While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that medical billing, receptionist responsibilities requires skills like "medical terminology," "patient insurance," "scheduling appointments," and "medical insurance." But a biller might use other skills in their typical duties, such as, "math," "home health," "billing process," and "dmv."
On average, billers earn a higher salary than medical billings, receptionist. Some industries support higher salaries in each profession. Interestingly enough, billers earn the most pay in the manufacturing industry with an average salary of $42,377. Whereas medical billings, receptionist have higher pay in the technology industry, with an average salary of $35,394.Average education levels between the two professions vary. Billers tend to reach similar levels of education than medical billings, receptionist. In fact, they're 0.3% more likely to graduate with a Master's Degree and 0.2% less likely to earn a Doctoral Degree.Medical billing, receptionist vs. Patient service representative
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.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a medical billing, receptionist is likely to be skilled in "medical claims," "eob," "appeals," and "icd-10," while a typical patient service representative is skilled in "excellent interpersonal," "check-in," "patient service," and "excellent organizational."
Patient service representatives make a very good living in the health care industry with an average annual salary of $33,107. On the other hand, medical billings, receptionist are paid the highest salary in the technology industry, with average annual pay of $35,394.When it comes to education, patient service representatives tend to earn similar degree levels compared to medical billings, receptionist. In fact, they're 0.5% more likely to earn a Master's Degree, and 0.1% more likely to graduate with a Doctoral Degree.Medical billing, receptionist vs. Patient representative
A patient representative is responsible for assisting the patients with their health care needs by identifying their medical concerns, assessing their medical history, and referring them to the appropriate physicians or other medical professionals for immediate treatments and further examinations. Patient representatives verify the patients' insurance information, guiding them on filling out medical forms, processing payments for medical services, and updating them for the release of medical results. A patient representative must have excellent communication and organizational skills, especially when responding to patient's inquiries and concerns timely and accurately, and performing additional administrative and clerical tasks as needed.
Types of medical billing, receptionist
Updated January 8, 2025
