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What Is a Medical Office and Billing Specialist?
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Key Insights:
- Medical office and billing specialists assist healthcare organizations with administrative and billing tasks. They can be found in a variety of settings, including physicians’ offices, hospitals, insurance call centers, and more.
- Training that includes healthcare-specific terminology can help individuals prepare for this role. Developing certain skills, such as those related to decision-making and interpersonal communication, can be beneficial as well.
- Ultimate Medical Academy (UMA) offers a couple of medical office and billing specialist education pathway options, enabling you to choose the one that aligns with your situation and career goals.
Medical office and billing specialists work within healthcare facilities, performing various tasks related to office operations and insurance or patient billing. If you are interested in a healthcare role that may not involve direct patient care, a medical office and billing specialist position may be worth considering.
Here we share what this type of healthcare professional does, in addition to talking about the settings in which you can work. We then dive into how to pursue becoming a medical office and billing specialist, as well as providing insight into how you can get started on this career path should you decide that it’s the right one for you.
What Does a Medical Office and Billing Specialist Do?
The job duties of a medical office and billing specialist can be broken down into two distinct areas: those that involve office administration and those that surround reimbursement or billing.
Office administration tasks
Administrative office tasks that may be performed by a medical office and billing specialist include:
- Answering the phones
- Scheduling patient appointments
- Opening and disseminating incoming mail
- Preparing documents or reports
- Updating or maintaining patient recordkeeping systems
Medical billing tasks
Billing-related job duties that might be required by entry-level healthcare professionals working in a medical office and billing specialist role are:
- Transforming patient symptoms, diagnostic tests, and treatments into standardized codes using medical coding systems such as the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT)
- Submitting claims to a patient’s medical insurance provider, seeking reimbursement for products supplied and/or services rendered
- Verifying that patients’ medical records are coded properly, which can help reduce the risk that reimbursement claims will be delayed or denied
- Receiving, recording, and processing payments from patients for their portion of medical expenses according to their insurance policies
- Handling payment-related issues as reported by the patient or insurance company
The exact duties that you could be expected to perform as a medical office and billing specialist can vary depending on the employer. Reading a job description or job post thoroughly can help provide a better understanding of the responsibilities of a position offered by a specific healthcare employer.
Where Do Medical Office and Billing Specialists Work?
Medical office and billing specialists can be found in many different healthcare environments. Some work for individual healthcare providers or a team of providers. Others may be employed by hospitals, outpatient clinics, insurance call centers, and more.
Sometimes healthcare companies hire professionals to perform both office and billing functions because their office is smaller and doesn’t have a lot of full-time staff. Bringing in someone who can handle both types of tasks can enable the company to continue to run its organization or facility without having to hire more people, which can save money by reducing staffing expenses.
Are Medical Office and Billing Specialists in Demand?
Medical office and billing specialists fall under the Bureau of Labor Statistics (BLS) category of medical secretaries and administrative assistants. The BLS reports that while other types of secretaries and administrative assistant positions are projected to show little or no change between 2025 and 2035, medical secretary and administrative assistant roles are expected to increase by 5%.1
The BLS adds that this increase is largely due to the growth of the healthcare industry overall. Approximately 1.9 million openings are expected each year, on average, in healthcare occupations during the 2025–2035 decade.2 This rate is much faster than average for all occupations.
How to Become a Medical Office and Billing Specialist
As a general rule, entry-level secretary and administrative assistant roles do not require prior training or certification. However, medical secretaries and administrative assistants may need additional training to learn industry-specific terminology.2 This type of training may help a candidate for one of these positions stand out.
If you are interested in becoming a medical office and billing specialist, it can also help to develop certain skills. Skills that are important in this type of role include those related to:3
- Decision making
- Interpersonal communication
- Organization
- Writing
Pursue Training for a Career as a Medical Office and Billing Specialist
If you are interested in preparing to pursue an entry-level position as a medical office and billing specialist, an educational program can provide the knowledge and skills needed. For instance, at UMA, we cover important topic areas such as healthcare communication, medical terminology and billing, diagnostic and procedural coding, healthcare reimbursement, and medical records management.
Our Health Sciences – Medical Office and Billing Specialist Associate of Science / Associate of Applied Science Degree program includes additional courses in interpersonal communication, patient relations, and computer fundamentals. You also learn more about general education topics such as English, math, and general biology.
Why pursue medical office and billing specialist training at UMA?
UMA has been helping prepare individuals to pursue healthcare careers since 1994. When you enroll in our healthcare programs, you also gain access to our wide variety of student services. These range from helping you with your homework to guidance toward potential employment resources after graduation.
"You have other people in your corner that you can count on, that you can call, and you feel like they really understand… It helps just having that strong support system that UMA definitely offers." — Darcell W., UMA Grad
If you’re ready to get started or have more questions, contact us. We’d love to hear your career goals and explore how we may be able to help you reach them!
1 Bureau of Labor Statistics. Occupational Outlook Handbook. Secretaries and Administrative Assistants. Job Outlook.
2 Bureau of Labor Statistics. Occupational Outlook Handbook. Healthcare Occupations.
3 Bureau of Labor Statistics. Occupational Outlook Handbook. Secretaries and Administrative Assistants. How to Become a Secretary and Administrative Assistant.
Frequently Asked Questions About Medical Office and Billing Specialist Role
What is a medical office and billing specialist?
What does a medical office and billing specialist do?
Where do medical offices and billing specialists work?
How much does a medical office and billing specialist make?
How do you become a medical office and billing specialist?
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Request Information
Talk with us. Start your journey.
Complete this form and we'll call you to explore options at UMA and answer your questions. We'll also email you info on how to get started. We're with you at every step!
About the Author
Christina DeBusk is a freelance writer who has been providing health and wellness content to healthcare organizations such as the American Chiropractic Association and International Sports Sciences Association (ISSA) since 2011. She obtained her Bachelor of Science in Sociology from Central Michigan University, minoring in psychology. She has also earned several ISSA certifications, including Certified Personal Trainer and Certified Nutrition Specialist, achieving the status of Elite Trainer.