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Direct Billing Jobs (NOW HIRING)

Applies domain expertise in direct billing, payer configurations, and claim lifecycle management to resolve moderately to highly complex support cases. Establishes and contributes to resources that ...

Direct Bill Processor

$17.50 - $21.50/hr

Insurance Direct Bill Specialist The Insurance Direct Bill Specialist manages all aspects of direct ... This role also serves as a key contact for billing inquiries, providing timely and professional ...

Director, Billing

  • Medical

  • Retirement

We are seeking an innovative and strategic Director, Billing Optimization to lead initiatives focused on reducing denials, improving cash collections, decreasing unbilled days, and transforming ...

Direct Bill Processor

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Role The Direct Bill Specialist/Processor is responsible for accurately processing high-volume ... This role also serves as a key contact for billing inquiries, providing timely and professional ...

Billing Specialist

Taos, NM ยท On-site

$18.75 - $25.25/hr

The Claims Billing Specialist works collaboratively with the Patient Financial Services Director, Billing Supervisor, coding staff, and insurance payers to ensure clean claims and efficient revenue ...

Billing Specialist

Taos, NM ยท On-site

$18.75 - $25.25/hr

The Claims Billing Specialist works collaboratively with the Patient Financial Services Director, Billing Supervisor, coding staff, and insurance payers to ensure clean claims and efficient revenue ...

Senior Billing Specialist

Chicago, IL ยท Hybrid

$75K - $85K/yr

  • Medical

  • Retirement

  • PTO

Process direct bill premium payments received via check, ACH, credit card, and online payment portals * Own cash application and post payments accurately to policyholder accounts in the billing ...

Director Billing Compliance

Brookline, MA ยท On-site

$154.20 - $170.80/hr

The Director provides constructive oversight and mentorship to the Billing Compliance team. This role leads the development and execution of a robust billing compliance program focused on hospital ...

The Director provides constructive oversight and mentorship to the Billing Compliance team. This role leads the development and execution of a robust billing compliance program focused on hospital ...

Director, Billing Operations

Valencia, CA ยท On-site

$130K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Direct all billing activities to ensure timely payment of claims. * Establish, refine, and standardize workflows to maximize productivity, accuracy, and turnaround times. * Ensure adherence to ...

Direct Bill Assistant

Chicago, IL ยท On-site

$16 - $20/hr

  • Medical

  • Dental

  • Retirement

  • PTO

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

Direct Bill Assistant

Chicago, IL ยท On-site

$16 - $20/hr

  • Medical

  • Dental

  • Retirement

  • PTO

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

Direct Bill Assistant

Chicago, IL ยท On-site

$16 - $20/hr

  • Medical

  • Dental

  • Retirement

  • PTO

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

Direct Bill Assistant

Chicago, IL

$16 - $20/hr

  • Medical

  • Dental

  • Retirement

  • PTO

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

Showing results 21-40

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.

Product Support Representative IV - REMOTE

Optima Healthcare Solutions, LLC

Pittsburgh, PA โ€ข Remote

Full-time

Medical, PTO

Re-posted 16 days ago


Job description

About Net Health

Belong. Thrive. Make a Difference.

Are you looking for a meaningful and satisfying career where you have endless opportunities to grow and be financially rewarded? Net Health may be the perfect place for you.

A high-growthand profitable company, we help caregivers harness data for human health.Wealsohonor and respect the needs of our Net Health family and staff,which is why weoffer awork-from-anywhere environment and unlimited PTO.Ourwelcomingand collaborativeculturepaired with progressive benefits makesNet Healththe ultimate career home!

As a leading-edgeSaaScompany in healthcare, we deliver solutions that help patients get better, faster, and livemore fulfilling lives. Our software and predictive analytics coverthecontinuum of care, fromhospital-to-home, across various medical specialties. Come join us andstart the next chapter of your exciting careerwhile helping otherstolive better lives.

World-Class Benefits That Reflect Our World-ClassCulture.

Click Here to Learn More!:

#WorkFromAnywhere#UnlimitedPTO#ComprehensiveBenefitsPackage#EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellness#DiversityAndInclusion#AVoice#NewHireSupport#CareerDevelopment #EducationalAssistance #EmployeeReferralBonus#ProgressiveParentalLeave

JOB OVERVIEW

Provides specialized application support to clients utilizing the company's revenue cycle management software, with a focus on therapy direct billing workflows. This role requires hands-on knowledge of the healthcare revenue cycle โ€” from charge entry through claims submission, clearinghouse processing, and remittance โ€” to accurately diagnose client issues and deliver clear, effective resolutions. Applies domain expertise in direct billing, payer configurations, and claim lifecycle management to resolve moderately to highly complex support cases. Establishes and contributes to resources that provide repeatable answers to common revenue cycle application questions and support patterns.

RESPONSIBILITIES AND DUTIES

  • Respond to product application support inquiries from clients regarding revenue cycle workflows, including claims processing, payer configurations, remittance posting, and direct billing functions within the company's software
  • Receive and triage support cases, gathering relevant client information to accurately identify the nature and scope of the issue
  • Diagnose problems within revenue cycle software applications by reviewing client workflows, system logs, and claim data to pinpoint root causes and determine appropriate corrective action
  • Investigate claim submission and processing issues across the full claim lifecycle โ€” from charge entry and clearinghouse transmission through 837/835 file processing, ERA receipt, and payment posting
  • Troubleshoot clearinghouse-related issues, including 837 transaction errors, acknowledgment (999/TA1) rejections, and 835 remittance file discrepancies, and communicate findings and resolution steps clearly to the client
  • Analyze payer-specific billing rules, claim edits, and rejection patterns to identify workflow gaps and recommend solutions within the software application
  • Work through identified issues methodically, leveraging internal tools, documentation, and system analytics to validate findings and confirm resolution
  • Communicate resolution steps, workflow corrections, and recommended best practices back to clients in a clear, structured manner aligned with their level of technical and billing expertise
  • Maintain thorough case documentation from intake through resolution, ensuring all troubleshooting steps, findings, and client communications are accurately recorded
  • Escalate complex or unresolved issues to appropriate internal teams with complete case context and documentation to facilitate efficient handoff
  • Leverage knowledge of direct billing workflows โ€” including payer setup, claim submission, billing exception management, and remittance reconciliation โ€” to support clients navigating therapy-specific billing environments
  • Support clients working within skilled nursing, outpatient therapy, or home health billing settings, applying familiarity with applicable payer requirements and claim form standards
  • Act as a voice of the customer by surfacing patterns, recurring issues, and client feedback to internal stakeholders for product and process improvements
  • Contribute to internal knowledge base resources, process documentation, and troubleshooting guides to support team consistency and scalability
  • Ensure consistent service quality during critical coverage windows, including holidays and off-hours, as needed
  • Some holiday, evening, and weekend hours will be required as needed to meet client needs and provide adequate coverage

QUALIFICATIONS

  • Minimum education: High School Diploma or equivalent GED
  • 3+ years of experience in a revenue cycle, healthcare billing, or related application support role
  • Demonstrated experience with therapy direct billing workflows, including payer setup, claim submission, billing exception management, and remittance reconciliation โ€” experience working within Optima Therapy strongly preferred
  • Prior experience with NetHealth direct bill RCM software strongly preferred
  • Familiarity with therapy-specific billing requirements including UB-04 and CMS-1500 claim forms, therapy cap tracking, and Medicare/Medicaid billing rules
  • Experience working with or supporting SNF, outpatient therapy, or home health billing teams in a billing, support, or implementation capacity

REQUIRED SOFTWARE EXPERIENCE

  • Microsoft Office
  • Common enterprise software solutions (i.e., NetSuite, Salesforce, Oracle, SAP, MS Project, SmartSheet, or equivalent)
  • Optima Therapy โ€” direct billing module experience strongly preferred; NetHealth experience a significant plus
    Revenue cycle or practice management platforms with direct billing capability (e.g., WebPT, Raintree, Clinicient, or equivalent)
  • Healthcare clearinghouse tools and EDI transaction experience (837, 835, 999/TA1)


Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.

Hourly Range: $19.62 - $24.52 USD

A word on Al-assisted candidate fraud & deepfakes: Our company maintains a zero-tolerance policy for the use of Al tools to misrepresent a candidate's skills, experience, or qualifications during the hiring process. We utilize advanced screening methods to detect such practices and reserve the right to disqualify and report candidates who violate this policy.