Medical Biller: Job Duties, Skills and Salary 2025

What Does a Medical Biller do?

A Medical Biller is responsible for processing patient data related to medical services, including billing and payment information.

They generate invoices for services rendered by healthcare providers, submit claims to insurance companies, and follow up on unpaid claims. Medical Billers play a crucial role in the financial operations of healthcare facilities, ensuring that healthcare providers are reimbursed for their services. They must accurately code procedures and diagnoses, verify insurance coverage, and communicate with patients and insurance companies to resolve billing issues. Medical Billers work in various healthcare settings, such as hospitals, clinics, and private practices, and are essential in maintaining the financial health of these institutions.

Their work is critical in ensuring that healthcare providers receive timely payment for services, which in turn allows for the continued delivery of quality patient care.

Key Duties & Responsibilities

Medical Billers in the Healthcare field handle essential tasks and contribute significantly to achieving team and organizational goals. Here are some of their primary responsibilities:

• Prepare and submit medical claims to insurance companies for reimbursement.
• Verify insurance coverage and eligibility for services.
• Code medical procedures and diagnoses according to established standards (e.g., ICD-10, CPT).
• Generate and send invoices to patients for services not covered by insurance.
• Follow up on unpaid claims and work with insurance companies to resolve payment issues.
• Communicate with patients to explain billing procedures and answer any questions about their accounts.
• Maintain accurate records of patient billing and payment histories.
• Ensure compliance with healthcare regulations, privacy laws, and billing standards.

How to Become a Medical Biller

Launching a career as a Medical Biller requires a specific education. We outline the essential qualifications, skills, and steps to enter this field.

Qualification

• High school diploma or equivalent; some employers may prefer post-secondary education in medical billing or health information management.
• Certification as a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) is advantageous.
• Knowledge of medical terminology, billing codes (ICD-10, CPT), and insurance procedures.
• Proficiency in using medical billing software and electronic health records (EHR) systems.
• Strong understanding of healthcare regulations, including HIPAA and insurance policies.

Requirements & Skills

• Excellent attention to detail and accuracy in data entry and coding.
• Strong analytical and problem-solving skills to resolve billing issues.
• Effective communication skills for interacting with patients, healthcare providers, and insurance companies.
• Ability to manage multiple billing accounts and prioritize tasks in a fast-paced environment.
• Commitment to maintaining patient confidentiality and adhering to ethical billing practices.

Medical Biller Salary Guide

Wondering what Medical Billers earn? Explore salary ranges by experience, and career tips to maximize your earning potential.

The average salary for a Medical Biller in the U.S. is approximately $43,000 per year and can vary from entry-level to senior positions. Medical Billers may receive a wide range of benefits.

Medical Biller Salary Career Steps