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Business Office Representative Jobs (NOW HIRING)

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Business Office Representative information

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How much do business office representative jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for business office representative in the United States is $22.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $22.12 per hour, depending on experience, location, and employer.

What is a business office representative?

Business Office Representatives are administrative professionals who handle various clerical and financial tasks within an office setting, often in healthcare or corporate environments. Their responsibilities typically include managing billing processes, processing payments, maintaining records, and providing customer service to clients or patients. They play a crucial role in ensuring the accuracy and efficiency of office operations, especially related to financial transactions and documentation. Strong communication, organization, and computer skills are essential for success in this role.

What are the key skills and qualifications needed to thrive as a business office representative, and why are they important?

To thrive as a Business Office Representative, you need strong organizational skills, attention to detail, and a background in administrative or office support, often with a high school diploma or equivalent. Familiarity with office software (such as Microsoft Office Suite), billing systems, and electronic record-keeping is typically required. Excellent communication, problem-solving abilities, and customer service orientation set top performers apart. These competencies ensure efficient office operations, accurate record management, and positive interactions with clients and colleagues.

What are some common challenges faced by business office representatives in a healthcare setting?

Business Office Representatives in healthcare often handle a high volume of patient billing inquiries, insurance verifications, and payment processing. One of the main challenges is navigating complex insurance policies and ensuring accurate patient billing, which requires strong attention to detail and up-to-date knowledge of regulations. Additionally, representatives must often balance customer service with administrative duties, working closely with clinical staff and other departments to resolve discrepancies or patient concerns efficiently. Adaptability and effective communication are key to overcoming these challenges and ensuring smooth office operations.

What is the difference between Business Office Representative vs Medical Billing Specialist?

AspectBusiness Office RepresentativeMedical Billing Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification preferred (e.g., Certified Billing and Coding Specialist)
Work EnvironmentOffice setting, healthcare facilities, administrative departmentsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageHospitals, clinics, healthcare providersMedical billing companies, healthcare providers
Common Search & ComparisonCustomer service, administrative support, billingBilling, coding, insurance claims processing

The Business Office Representative primarily handles administrative and customer service tasks within healthcare settings, focusing on billing and office support. In contrast, Medical Billing Specialists focus specifically on processing insurance claims and coding medical procedures. While both roles require knowledge of healthcare billing, the Business Office Representative has broader administrative duties, whereas the Medical Billing Specialist specializes in billing and coding processes.

Who are the top companies hiring for Business Office Representative jobs?

The top employers for Business Office Representative jobs are:

What are popular job titles related to Business Office Representative jobs?

For Business Office Representative jobs, the most frequently searched job titles are:

Infographic showing various Business Office Representative job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $45,839 per year, or $22 per hour.

Business Office Representative

Dell Rapids, SD • On-site

Avera Health
Hospitals • 10K+ employees

Part-time

Re-posted 10 hours ago


Key responsibilities

  • Verifies daily admissions and discharges to ensure billing information is properly completed and organized into daily batches for system input.

  • Answers phone calls and messages, routing them to the appropriate individuals as needed.

  • Posts cash receipts in accounts receivable and verifies payments are reimbursed correctly according to insurance contracts.


Job description

Location:

Avera Dells Area Health Hospital

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$18.50 - $24.25

Position Highlights

M-F 1pm-5pm

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.


A Brief Overview
Accountable for securing or providing information relative to patients financial statuses or insurance coverage as needed in reference to patients bills.
What you will do

  • Verifies daily admissions/discharges to ensure all billing info is properly completed and organized into daily batches to input into system.
  • Answers and addresses phone calls and messages, routing to necessary individual if needed.
  • Posts cash receipts in accounts receivable for self-pay and third party payments received.
  • Verifies that payments received are reimbursed correctly according to insurance contracts.
  • Runs cost estimates for patients and completes prior-authorization to ensure patients are approved for services.
  • Researches credit balances payment errors and refund issuers.

Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:

  • High School or GED Equivalent

Preferred Education, License/Certification, or Work Experience:

  • Associate's Business Administration, Accounting or a related field.
  • 1-3 years relevant experience

Expectations and Standards

  • Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera's values of compassion, hospitality, and stewardship.
  • Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.


Avera Health logo

About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US