Medical Insurance Biller: Summary of Career Education

Learn about the education and preparation needed to become a medical insurance biller. Get a quick view of the requirements as well as details about schooling and job duties to find out if this is the career for you.

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Essential Information

Medical insurance billers help hospitals, doctors and other medical facilities obtain payments from medical insurance providers. They determine which procedures were performed on patients and then send out medical billing invoices to insurance carriers. These professionals usually learn their skills through certificate or associate's degree programs that include medical billing coursework, with additional coursework in medical coding also commonly included.

Required Education Certificate or associate's degree
Projected Job Growth22% for all medical records and health information technicians from 2012-2022*
Median Salary (September 2014) $33,646 annually for medical billing specialists**

Sources: *U.S. Bureau of Labor Statistics, **PayScale.com

Career Information

The U.S. Bureau of Labor Statistics (BLS) showed that workers in the medical records and healthcare information industries, such as medical insurance billers, use patient records to determine what to charge medical insurance companies for services rendered (www.bls.gov). Medical insurance billers input patient chart information into medical billing databases to notate which medical procedures were administered. They calculate the expenses for services and then prepare itemized lists for billing statements and health insurance invoices. Sometimes billers have to submit additional notation to insurance companies if a bill has been denied.

Employment Outlook

Between 2012 and 2022, the BLS predicted that open positions for workers in the medical records and health information industries would increase by 22%, faster than the average for all occupations. An aging population and their need for more medical tests and the increasing use of electronic health care records should contribute to this growth.

Education Requirements

The BLS reported that most health information technicians and medical records specialists entered the work force with an associate's degree. There are also certificate programs available that train workers to become medical billers. Coursework in medical billing includes medical finance and insurance, medical terminology, computerized medical billing and confidentiality compliance.

Additional Training

Most medical billing certificate and degree programs also teach courses in medical coding. Medical codes are assigned to medical procedures, and these codes are used by medical billing database computer programs to determine reimbursement rates. Medical coders review patient charts and write down the appropriate medical codes that need to be inputted into the system by medical billers. Some medical billers work as both billers and coders, but this varies by employer.

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