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Direct Billing Jobs (NOW HIRING)

As the Direct Bill Supervisor, you will assume a pivotal role in overseeing the Direct Bill team while managing crucial relationships with offshore teams, carriers, brokers, and senior-level business ...

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How much do direct billing jobs pay per hour?

As of Jul 5, 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 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.

What are the key skills and qualifications needed to thrive as a Direct Billing Specialist, and why are they important?

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 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.

Is there a demand for medical billers?

Medical billers are in high demand due to the ongoing need for healthcare billing and coding services. The role requires knowledge of medical terminology and billing software, and employment opportunities are available in hospitals, clinics, and billing companies, with job growth expected to continue as healthcare services expand.

Will AI replace medical billing?

Medical billing professionals, including those in direct billing roles, use specialized software and coding knowledge to process insurance claims and patient invoices. While AI can automate routine tasks and improve efficiency, human oversight remains essential for complex cases, compliance, and accuracy. Therefore, AI is likely to augment rather than fully replace medical billing jobs in the near future.

What jobs pay $500,000 a year in the US?

In the context of direct billing roles, high-paying positions such as senior healthcare billing managers, medical directors, or specialized financial executives can reach or exceed $500,000 annually, especially with extensive experience, certifications, and leadership responsibilities. These roles often require advanced skills in billing systems, negotiation, and compliance, and may involve managing large teams or complex accounts.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires knowledge of medical coding, billing software, and healthcare regulations. While some positions may require certification, such as Certified Professional Biller (CPB), the job market is competitive but accessible with relevant skills and training.

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.
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:
What job categories do people searching Direct Billing jobs look for? The top searched job categories for Direct Billing jobs are:
Infographic showing various Direct Billing job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 1% Temporary, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $47,932 per year, or $23 per hour.
Direct Billing Supervisor

Full-time

Posted 1 hour ago


Risk Strategies rating

7.5

Company rating: 7.5 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

198th of 277 rated insurance


Job description

As the Direct Bill Supervisor, you will assume a pivotal role in overseeing the Direct Bill team while managing crucial relationships with offshore teams, carriers, brokers, and senior-level business operations. In this role, you will oversee the Direct Bill team and be accountable for the accuracy and efficiency of commission processing, reconciliations, and revenue management across Property & Casualty (P&C) and Life & Health (L&H) lines. You will act as the escalation point for issues. This role plays a key part in enhancing processes, developing training plans, and ensuring the health of the Direct Bill subledger. Additionally, you will define and track productivity metrics, lead team meetings, and provide coaching and mentorship to staff.
*Please Note:
This position is remote, but occasional travel may be required for training, meetings, and collaborative activities. The role also involves frequent overtime, particularly during month-end, year-end, and other high-volume periods, providing valuable opportunities to contribute to key business initiatives. Must have the ability to work overtime & travel as needed or required.
Your Impact:
Team Management
• Manage the Direct Bill team based in the U.S., providing guidance, support, and coaching.
• Oversee offshore team collaboration (RSP and other offshore partners) to ensure accuracy and efficiency in processing.
• Conduct regular one-on-one meetings with staff to directly manage, develop, provide feedback, identify training needs, and offer mentorship, support, or training as needed.
Escalation Handling & Relationship Management
• Act as the point of escalation for complex direct bill issues and outages, working with carriers, branches, and internal stakeholders to ensure timely resolution.
• Establish and maintain strong relationships with carriers, brokers, and branch offices to support direct bill operations.
• Coordinate with banking teams to manage direct bill cash receipts, deposits, and ACH payments.
Process Ownership & Improvement
• Own the health and maintenance of the Direct Bill subledger, ensuring timely reconciliations and accuracy in financial records.
• Analyze, research, and resolve complex issues impacting direct bill accounting processes while ensuring compliance and maintaining strong relationships with carriers and brokers.
• Review, create, and implement process improvements that increase efficiency and accuracy while identifying long-term solutions to recurring challenges.
• Oversee carrier/broker login credentials, producer code lists, and banking information to ensure proper access, accuracy, and compliance.
• Collaborate with Business Ops, IT Ops, National Broker Ops, and Corporate Finance to resolve system/data issues, implement process changes, and maintain accuracy in financial tools (Comulate, Epic, etc.).
• Collaborate with the Accounting Integration team to transition new work into a centralized environment, escalate issues as needed, and prepare the team for workflow changes related to new conversions.
Month-End Close & Financial Reporting
• Ensure all commission statements are received and reconciled before month-end close.
• Conduct monthly audits of the Direct Bill subledger for balancing, process adherence, and unresolved commission receipts.
• Review balances and confirm accuracy against the General Ledger (GL).
• Monitor and report on aged items, reconciling variances and working with branches on timely resolution.
• Compile and analyze financial data for leadership reporting and special projects.
Training & Development
• Develop and implement training plans for U.S. and offshore staff to ensure consistency and quality in direct bill processing.
• Cross-train team members across P&C and L&H to ensure workflow continuity during peak periods or absences.
Metrics & Productivity
• Define and maintain KPIs related to team productivity, reconciliation timeliness, and accuracy.
• Provide regular reporting and insights to leadership on the health of direct bill processing.
Successful Candidates Will Have:
• Bachelor's degree in Accounting, Finance, or related field (preferred).
• 5+ years of experience in insurance accounting, direct bill, or related field.
• Strong understanding of commission reconciliations, subledger management, and accounting principles.
• Prior experience managing U.S. and offshore staff strongly preferred.
• Proficiency in Comulate, Epic, AMS360, BenefitPoint, Smartsheet, and Microsoft Office Suite (Excel, Outlook, Word, Teams).
• Excellent communication and interpersonal skills for collaboration with internal and external stakeholders.
• Strong attention to detail, problem-solving abilities, and time management skills.
• Ability to thrive in a fast-paced environment and manage multiple priorities effectively.
Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+ locations and a team of approximately 23,000 professionals, we are dedicated to delivering scalable, innovative strategies for our customers at every step of their growth journey. Learn more at BBrown.com.
Pay Range:
$65,000.00 - $85,000.00 Annual
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
Brown & Brown, Inc. and our team of companies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies, part of the Brown & Brown team, by visiting https://us.bbrown.com/careers/.
Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.
Recruiting Vendor Disclosure Statement
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

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