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Direct Billing Jobs (NOW HIRING)

Direct Billing Specialist

Fort Worth, TX ยท On-site

$23.75 - $26.50/hr

We are immediately hiring a Direct Billing Specialist to join an industry leading insurance-focused team in Fort Worth, Texas on a contract-to-permanent basis. This position supports accurate ...

New

Support Specialist, COBRA & Direct Billing

Agawam, MA ยท Remote

$19.25 - $26/hr

The COBRA Specialist supports and services COBRA & Direct Billing participants, as well as clients and brokers by providing COBRA Administration in accordance with federal COBRA regulations. Some of ...

Billing Manager - NYC

New York, NY ยท On-site

$150K - $190K/yr

This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department. The Billing Manager must be very organized and collaborative, comfortable ...

Revenue Cycle & Billing Manager Salary: $90,000 - $140,000 Location: Tulare County, CA Full Time l ... Step into a senior leadership role with direct influence over revenue performance and operational ...

Direct Bill Analyst

Daytona Beach, FL ยท On-site

$46K - $61K/yr

Brown & Brown is seeking a Direct Bill Analyst to join our growing team in Daytona Beach! The ... Collaborate with profit centers to resolve billing errors. * Build courteous and successful ...

Billing Manager

New York, NY ยท On-site

$170K - $190K/yr

Direct billing staff to complete activities in a timely and efficient manner - focused on meeting key deadlines and service expectations * Manage escalation of issues requiring support from other ...

Direct Bill Analyst

Daytona Beach, FL ยท On-site

$46K - $61K/yr

The Direct Bill Analyst is responsible for processing all phases of direct bill reconciliations for ... Collaborate with profit centers to resolve billing errors. * Build courteous and successful ...

Direct Bill Assistant

Chicago, IL ยท On-site

$16 - $20/hr

The Direct Bill Assistant will provide excellent customer service to collect payments and respond ... Take payment and billing questions by phoneWork with the underwriting department to resolve billing ...

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Direct Billing information

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$14

$23

$39

How much do direct billing jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for direct billing in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.80 per hour, depending on experience, location, and employer.

What is direct billing?

Direct billing is a payment process where a service provider, such as a healthcare clinic or insurance company, bills a third party (like an insurance provider or employer) directly for services rendered, instead of billing the client or patient. This means the client does not have to pay upfront and then seek reimbursement; the provider and third party handle payments directly. Direct billing is common in health, dental, or wellness services and helps streamline the payment process, making it more convenient for both customers and businesses.

What are the key skills and qualifications needed to thrive as a direct billing specialist?

To excel as a Direct Billing Specialist, you need a solid understanding of invoicing, accounts receivable, and financial recordkeeping, often supported by a background in accounting or finance. Familiarity with billing software, enterprise resource planning (ERP) systems, and sometimes certification in bookkeeping or accounting software is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accuracy and resolve billing disputes efficiently. These competencies are crucial for maintaining cash flow, preventing errors, and building trust with clients and vendors.

What are some common challenges faced in a direct billing role, and how can they be managed effectively?

Direct Billing professionals often encounter challenges such as managing high volumes of invoices, ensuring accuracy in billing details, and resolving discrepancies with clients or insurance providers. Staying organized and maintaining clear communication with both internal teams and external partners are crucial to minimizing errors and delays. Leveraging billing software and regularly reviewing accounts can help streamline processes and quickly address any issues that arise. Being proactive and detail-oriented is essential for success in this role.

What is the difference between Direct Billing vs Medical Billing Specialist?

AspectDirect BillingMedical Billing Specialist
CredentialsOften requires knowledge of insurance policies and billing proceduresRequires coding certifications (e.g., CPC), insurance knowledge
Work EnvironmentHealthcare providers, clinics, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageProviders handle billing directly with insurersThird-party billing companies or in-house billing teams

While both roles involve billing processes, Direct Billing typically refers to providers billing insurers directly, whereas Medical Billing Specialists handle coding and processing claims for various healthcare providers. Understanding these differences helps clarify job responsibilities and industry expectations.

More about Direct Billing jobs

What cities are hiring for Direct Billing jobs?

Cities with the most Direct Billing job openings:

What states have the most Direct Billing jobs?

States with the most job openings for Direct Billing jobs include:

Infographic showing various Direct Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 13% Part Time, and 6% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $47,932 per year, or $23 per hour.

Direct Billing Specialist

Robert Half

Fort Worth, TX โ€ข On-site

$23.75 - $26.50/hr

Temporary

Posted yesterday

New


Job description

We are immediately hiring a Direct Billing Specialist to join an industry leading insurance-focused team in Fort Worth, Texas on a contract-to-permanent basis. This position supports accurate commission and direct bill processing across employee benefits, property and casualty, and personal lines business. The ideal candidate brings strong billing knowledge, attention to detail, and the ability to keep financial records current while resolving discrepancies efficiently.


Responsibilities:

• Handle direct bill commission activity by importing transactions into the billing platform and completing manual entries when needed.

• Match incoming cash receipts to posted agency commissions and investigate variances to maintain accurate financial records.

• Manage direct bill payment-related tasks, including preparing and processing items tied to check requests.

• Reclassify and move posted cash amounts to the appropriate client accounts, carrier payables, and related billing categories.

• Review aged or unresolved direct bill items, research outstanding issues, and complete posting so records are fully updated.

• Monitor direct bill download activity, confirm files are current, and remove items that have already been addressed.

• Process return commissions promptly and apply needed updates to maintain billing accuracy.

• Make commission and policy adjustments based on service team requests while ensuring supporting records remain aligned.

• Communicate promptly with leadership regarding missing carrier statements, import issues, or other processing obstacles.

• Coordinate with the direct bill download team to help establish and maintain new carrier download setups.

• Experience supporting billing operations, collections, statements, or related accounting activities.
• Working knowledge of billing systems and computerized billing processes.
• Solid understanding of accounting fundamentals, including cash application and reconciliation.
• Ability to identify discrepancies, research exceptions, and resolve outstanding billing items accurately.
• Strong organizational skills with the ability to manage multiple transactions and deadlines.
• Clear written and verbal communication skills for escalating issues and collaborating with internal teams.
• High attention to detail and accuracy when handling commission postings and policy-related updates.

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About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948