Which professional processes insurance billing claims?

• A. Medical Biller/Coder
• B. Medical Coder
• C. Health Information Administrator
• D. Dental Assistant

Answer: (A)

Insurance claims are processed by professionals who translate clinical services into codes and then submit those codes to payers. The best choice is the Medical Biller/Coder because this role combines both parts of the process—coding the diagnosis and procedures using standard coding systems and preparing and submitting the insurance claim, plus handling any corrections and follow-up. A Medical Coder focuses on assigning the correct codes but may not manage the actual claim submission or reimbursement issues. A Health Information Administrator mainly oversees medical records, data quality, privacy, and compliance, not the billing of claims. A Dental Assistant provides clinical support and typically does not handle billing. In practice, having someone who understands both coding and billing helps ensure claims are accurate and paid efficiently.