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How much do chiropractic billing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for chiropractic billing in the United States is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.36 per hour, depending on experience, location, and employer.

What is chiropractic billing?

Chiropractic billing is the process of submitting and following up on claims with health insurance companies to receive payment for chiropractic services provided to patients. This involves coding medical procedures, verifying patient insurance coverage, and ensuring that claims are compliant with healthcare regulations. Chiropractic billers also handle denials, appeals, and patient billing, working to maximize reimbursement and minimize errors. Accurate chiropractic billing is essential for the financial health of a chiropractic practice.

What are chiropractic billing jobs?

Chiropractic billing associates or specialists handle patient billing for a chiropractic office. In this role, you submit documents to medical insurance companies for reimbursement for services and request or provide information and documentation when there are questions about a claim. Some chiropractic billing associates work for a medical billing company that provides billing services to a variety of different facilities and practices, while others are employees of a chiropractic office. In private practice, you may also register incoming patients and collect co-pays, maintain claims forms and related documentation, answer phones and emails, follow up with patients regarding past due accounts, and perform various office and accounting tasks as needed.

What are the key skills and qualifications needed to thrive in chiropractic billing, and why are they important?

To thrive in Chiropractic Billing, you need knowledge of medical billing and coding, familiarity with insurance claim processes, and typically a high school diploma or equivalent, with specialized billing certification being an advantage. Experience with billing software such as Kareo, AdvancedMD, or ChiroTouch, as well as understanding of ICD-10 and CPT codes, is commonly required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for managing complex claims and resolving discrepancies. These skills ensure accurate reimbursement, compliance with regulations, and efficient practice operations in a healthcare setting.

What are some common challenges faced in chiropractic billing, and how can I prepare for them?

Chiropractic billing professionals often encounter challenges such as navigating complex insurance requirements, ensuring accurate coding for services, and managing claim denials or delays. Staying up to date with the latest coding standards (like ICD-10 and CPT codes) and maintaining strong communication with both providers and insurers can help reduce errors and speed up reimbursement. Building organizational skills and attention to detail is essential, as is being proactive in following up on outstanding claims. Many chiropractic billing teams work closely with front desk staff and chiropractors to verify patient information and resolve issues efficiently.

What is the difference between Chiropractic Billing vs Chiropractic Coding?

AspectChiropractic BillingChiropractic Coding
CredentialsBilling certifications, knowledge of insurance processesMedical coding certifications, CPT and ICD-10 expertise
Work EnvironmentMedical offices, billing companiesHealthcare facilities, coding departments
Employer & Industry UsageChiropractic clinics, billing service providersHospitals, clinics, insurance companies

Chiropractic Billing focuses on submitting insurance claims and managing payments, while Chiropractic Coding involves translating clinical services into standardized codes for billing and documentation. Both roles require knowledge of healthcare regulations, but Billing emphasizes claim submission and payment follow-up, whereas Coding centers on accurate code assignment for services rendered.

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Chiropractic Billing jobs near you
Infographic showing various Chiropractic Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 83% Full Time, 12% Part Time, and 3% Contract. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $42,166 per year, or $20.3 per hour.

Chiropractic Assistant/Receptionist

ReNu Chiropractic Health

Hillsboro, OR • On-site

$18 - $22/hr

Full-time

Medical, Retirement

Re-posted 8 days ago

Job description

Immediate Opening Full-time Hillsboro Chiropractic office. We need an energetic, organized person with a healthy lifestyle to help us serve our community. We will fully train you to become a Chiropractic Assistant. 
Requirements:
  • Our ideal candidate loves meeting and connecting with new people, has high energy and is results-oriented. Previous Marketing/Sales experience is a PLUS, but not required.
  • Excellent written and verbal communication skills.
  • Competency in Microsoft applications including Word, Excel, and Outlook.

The Chiropractic Assistant works under a licensed chiropractor to perform a variety of administrative and clinical tasks to support patient care. 
Their responsibilities include:
  • Scheduling appointments, maintaining patient records, billing, coding for insurance
  • Professionally answering phone calls, responding to emails, ordering supplies, and sorting mail
Clinical tasks
Taking and recording vital signs and medical histories, preparing patients for examination, and administering care as directed by the Chiropractor 

Patient care
Greeting patients with a positive, helpful attitude, checking them in, filling out intake forms, obtaining insurance information, and educating patients about treatment methods

Other Tasks
Monitoring equipment and supplies, keeping examination rooms clean, and assisting with screening assessments 

Full-time Flexible hours (30-40 hours/ week) hourly pay + free chiropractic and massage care. Benefits include health insurance and 401k match. 
Please email your resume and cover letter explaining why you feel you are a great candidate for this job. You must have your own transportation.
Google us at www.renuchiro.com. We love our community and bringing top quality care to as many people as possible. If you'd like to join us, please apply for an interview!