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Direct Billing Jobs (NOW HIRING)

Direct Bill Manager

Charlotte, NC ยท On-site

$125 - $150/hr

ROLE SUMMARY The Direct Bill Manager oversees Direct Bill operations for Health & Benefits and ... The position oversees offshore reconciliation activities, resolves billing and commission ...

Direct Bill Manager

Charlotte, NC ยท On-site

$125 - $150/hr

The position oversees offshore reconciliation activities, resolves billing and commission ... Monitor direct bill aging and outstanding balances, following up with carriers and internal teams ...

$125 - $150/hr

ROLE SUMMARY The Direct Bill Manager oversees Direct Bill operations for Health & Benefits and ... The position oversees offshore reconciliation activities, resolves billing and commission ...

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 ...

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

$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 ...

$60 - $80/hr

Initiate and manage direct billing, collaborate with customer on direct billing processes * Daily HR system submissions of relevant COBRA tasks * Process incoming mail/email elections & payments

Senior Billing Specialist

Chicago, IL ยท Hybrid

$75K - $85K/yr

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 ...

Direct-Bill Operations & Reporting * Process and audit for account changes, terminations, and new account setup, including reporting Direct Bill performance (e.g., enrollments and billing) Carrier ...

Billing Analyst I

Omaha, NE ยท Hybrid

$45K - $61K/yr

A Brief Overview Performs daily activities related to company direct bill operations and resolves routine and complex customer and system issues. Works with agents and related Company departments ...

New

Billing Analyst I

Omaha, NE ยท Hybrid

$45K - $61K/yr

A Brief Overview Performs daily activities related to company direct bill operations and resolves routine and complex customer and system issues. Works with agents and related Company departments ...

New

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 phone * Work with the underwriting department to resolve ...

Showing results 41-60

Direct Billing information

See salary details

$14

$23

$39

How much do direct billing jobs pay per hour?

As of Sep 7, 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.

Is it hard to get hired as a direct billing?

Getting hired as a direct billing specialist typically requires relevant experience in billing processes, attention to detail, and familiarity with billing software or electronic health record systems. The hiring process can vary depending on the employer's requirements and the level of experience needed, but generally, candidates with strong organizational skills and certifications in healthcare billing have better prospects.
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 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $47,932 per year, or $23 per hour.

Direct Bill Manager

Howden Group Holdings

Charlotte, NC โ€ข On-site

$125 - $150/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Job description

Who are we? Howden is a global insurance group with employee ownership at its heart. Together, we have pushed the boundaries of insurance. We are united by a shared passion and no-limits mindset, and our strength lies in our ability to collaborate as a powerful international team comprised of 24,000 employees spanning over 56 countries. People join Howden for many different reasons, but they stay for the same one: our culture. Itโ€™s what sets us apart, and the reason our employees have been turning down headhunters for years. Whatever your priorities โ€“ work / life balance, career progression, sustainability, volunteering โ€“ youโ€™ll find like-minded people driving change at Howden. We are seeking a Direct Bill Manager in Charlotte, NC with a hybrid work schedule.

ROLE SUMMARY

The Direct Bill Manager oversees Direct Bill operations for Health & Benefits and Private Client portfolios at Howden Specialty LLC, ensuring the timely collection, reconciliation, and processing of carrier and vendor statements. The position oversees offshore reconciliation activities, resolves billing and commission discrepancies, monitors aging and outstanding balances, and drives the timely resolution of unapplied cash and other at-risk items. Working closely with carriers, producers, account managers, clients, and Finance, the role ensures accurate revenue recognition, transparent reporting, and effective escalation management. The individual serves as a key operational and stakeholder liaison, delivering exceptional service, maintaining strong business relationships, and supporting the highest standards of accuracy, accountability, and professionalism.

What will you be doing?Operational Responsibilities
  • Oversee end-to-end Direct Bill operations, principally for Health & Benefits and Private Client portfolios, ensuring timely and accurate statement collection, reconciliation, and processing, with clear escalation protocols in place where required.
  • Manage the collection of carrier and vendor statements, directing the offshore team to complete account reconciliations and month-end processing with markets and clients within agreed timelines.
  • Identify and resolve discrepancies between carrier commission statements and agency management system records, ensuring commissions are accurately posted and applied to the correct policy and client accounts.
  • Monitor direct bill aging and outstanding balances, following up with carriers and internal teams to clear unapplied cash and past-due items in a timely manner.
  • Provide regular reporting and transparency into aging items, including clear visibility for stakeholders and timely escalation of at-risk or long-outstanding balances.
  • Manage carrier portal access and credentials, ensuring regular and timely downloading of statements to support reconciliation and reporting timelines.
  • Partner with producers, account managers, and Finance to resolve client billing discrepancies and support accurate commission accrual and revenue recognition.
Stakeholder and Client Relationship

Build and maintain strong relationships with internal and external stakeholders, serving as an effective escalation point when needed; this includes principal support for the Health & Benefits and Private Client portfolios.

Respond to business and customer requirements with agility, professionalism, and sound judgment, while upholding the highest ethical standards in all interactions.

Reporting & Projects

Maintain accurate, upโ€‘toโ€‘date system records and deliver accounting operations, KPI reporting, and management information. Use dataโ€‘driven insights to steer execution priorities, identify escalation needs, and communicate effectively through clear data storytelling. Lead assigned initiatives and actively contribute to crossโ€‘functional projects.

Oversee account reconciliations performed by the offshore team with markets and clients, ensuring issues are identified, investigated, and resolved efficiently and accurately. Respond to accountโ€‘related inquiries promptly and in line with defined service standards.

Compliance, Governance & Market Awareness

Ensure compliance with company policies, procedures, and all applicable legal and regulatory requirements. Maintain accurate records and ensure HR and T&C documentation is current and properly authorized in line with internal processes. Monitor and assess regulatory and legal developments impacting IBA operations, implementing appropriate operational responses as needed. Stay informed of relevant legal, regulatory, and market changes affecting the role and the business.

What are we looking for?

Qualifications:

  • In-depth understanding of the Direct Bill lifecycle, including statement collection and reconciliation, within an agency management system; handsโ€‘on Applied Epic tactical experience is highly desirable.
  • Proven experience in accounting operations, preferably within an IBA or comparable agency environment.
  • Experience leading and managing an offshore team responsible for reconciliation and monthโ€‘end processing, developing the relationship as a full extension of the onโ€‘shore team.
  • Resultsโ€‘oriented professional with the ability to execute independently, manage operational and accounting processes accurately, and deliver highโ€‘quality outcomes in a fastโ€‘paced environment.
  • Strong analytical and problemโ€‘solving skills, with the ability to interpret, manipulate, and draw insights from financial and operational data to identify trends, risks, and solutions.
  • Solutionโ€‘oriented mindset, capable of prioritizing tasks, resolving issues efficiently, and escalating appropriately when needed.
  • Proven ability to interpret, implement, and consistently enforce policies, procedures, internal controls, and governance requirements.
  • Clear, confident verbal and written communication skills, including the ability to translate data into actionable insights and influence outcomes.
  • Collaborative team player and role model, contributing positively across functions and supporting shared objectives.
  • Selfโ€‘motivated with a proactive approach to learning and continuous improvement.
  • Proficient in Microsoft Office applications, particularly Excel, Word, and PowerPoint.
Compensation and Benefits

The expected base salary range for this role is $110,000 - $140,000; actual base salary will be determined based on factors including candidate experience and work location. This role is classified as exempt under the Fair Labor Standards Act (FLSA). In addition to a competitive base salary, employees are eligible to receive a discretionary bonus.

  • Medical, dental, and vision insurance, including healthcare savings and reimbursement accounts
  • 401(k) retirement plan
  • Flexible Paid Time Off and paid parental leave
  • Life and Disability insurance
Our sustainability promise

Weโ€™re on a life-long journey to become an ever-more sustainable group. It's a commitment to taking care of our people and the world we live in, to doing good business, and to making a positive impact wherever we can. Our governance processes, company policies, and review systems are all geared towards our goal of making a positive impact in the world. You can read more about our sustainability work here.

What do we offer in return?

A career that you define. At Howden, we value diversity โ€“ there is no one Howden type. Instead, weโ€™re looking for individuals who share the same values as us: Our successes have all come from someone brave enough to try something new We support each other in the small everyday moments and the bigger challenges We are determined to make a positive difference at work and beyond.

Reasonable adjustments

We're committed to providing reasonable accommodations at Howden to ensure that our positions align well with your needs. Besides the usual adjustments such as software, IT, and office setups, we can also accommodate other changes such as flexible hours* or hybrid working*.

*Not all positions can accommodate changes to working hours or locations.

Permanent

Howden began in 1994, as just three people and a dog. Now there are 23,000 of us, and we're a leading global insurance group, managing $37bn of premiums for our clients. Our largest shareholder group is us โ€“ the people who work in the business โ€“ supported by three long-term, minority growth-equity partners who share our vision to build a business to last, one that will never be sold. The owner's mindset is something that's embedded in our culture; our people readily take ownership of their decisions, their actions, and their outputs. Theyโ€™re invested in every sense. And we all know that by working together to drive the business forward, everyone will benefit from the extraordinary results we can achieve.

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