How To Become A Billing Representative: What It Is and Career Path - Zippia (2024)

Key steps to become a billing representative

1. Explore billing representative education requirements

   If you're interested in becoming a billing representative, you must consider how much education you need. Based on real billing representative resumes, 29.6% of billing representatives have a bachelor's degree. Regarding higher education levels, 3.0% of billing representatives have master's degrees. Even though some billing representatives have a college degree, it's possible to become one with only a high school degree or GED.

   Most common billing representative degrees

   Bachelor's

   29.6

   %

   Associate

   26.9

   %

   High School Diploma

   20.2

   %

2. Start to develop specific billing representative skills

   A billing representative's most important skills involve working with insurance claims and customer service. They verify insurance eligibility, enter insurance information, and submit claims to insurance companies. They also operate data entry terminals, respond to customer inquiries, and handle billing and collections. Additionally, they audit medical documentation, perform charge entry, and translate medical terminology into accurate codes. They also maintain patient records, handle inbound/outbound calls, and provide excellent customer service.

   Skills	Percentages
   Patients	18.34%
   Customer Service	12.80%
   Data Entry	5.87%
   Medical Billing	5.21%
   Medicaid	4.91%

   See Also

   Billing OperationsBilling Clerk job descriptionGuide to Medical Billing and Coding

   Show more

3. Complete relevant billing representative training and internships

   Accountants spend an average of 1-3 months on post-employment, on-the-job training. New billing representatives learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a billing representative based on U.S. Bureau of Labor Statistics data and data from real billing representative resumes.

4. Gain additional billing representative certifications

   Billing representative certifications can show employers you have a baseline of knowledge expected for the position. Certifications can also make you a more competitive candidate. Even if employers don't require a specific billing representative certification, having one may help you stand out relative to other applicants.

   The most common certifications for billing representatives include Certified Billing and Coding Specialist (CBCS) and Certified Medical Office Manager (CMOM).

   More About Certifications

5. Research billing representative duties and responsibilities

   A billing representative's responsibilities include reviewing Explanation of Benefits documents, auditing insurance claims, providing customer service, and entering billing information into automated systems. They also verify insurance eligibility, handle inbound/outbound calls, and perform charge entry utilizing medical coding. Additionally, they identify and recommend process improvements, provide secure medical information, and resolve patient billing and collection issues by ensuring completeness and accuracy of data.

   • Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
   • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
   • Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
   • Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.

6. Prepare your billing representative resume

   When your background is strong enough, you can start writing your billing representative resume.

   You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a billing representative resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

   Choose From 10+ Customizable Billing Representative Resume templates

   Build a professional

   Billing Representative

   resume in minutes. Browse through our resume examples to identify the best way to word your resume.

   Then choose from 10+ resume templates to create your Billing Representative resume.

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

7. Apply for billing representative jobs

   Now it's time to start searching for a billing representative job. Consider the tips below for a successful job search:

   1. Browse job boards for relevant postings
   2. Consult your professional network
   3. Reach out to companies you're interested in working for directly
   4. Watch out for job scams

How do billing representatives rate their job?

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The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.