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How much do insurance billing specialist jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for insurance billing specialist in the United States is $19.24, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $21.88 per hour, depending on experience, location, and employer.

What does an insurance billing specialist do?

An insurance billing specialist manages the process of submitting claims to insurance companies and ensuring accurate payment for healthcare services. They review patient information, verify insurance coverage, process claims using billing software, and follow up on denied or unpaid claims to resolve issues. Strong attention to detail and knowledge of insurance policies and coding are essential for this role.

What are some common challenges faced by Insurance Billing Specialists when handling claim denials, and how are they typically addressed?

Insurance Billing Specialists often encounter claim denials due to issues such as coding errors, missing patient information, or discrepancies in coverage. Resolving these challenges requires attention to detail, effective communication with insurance companies, and persistence in following up on claims. Specialists typically review denial codes, correct any errors, resubmit claims, and sometimes coordinate with healthcare providers or patients to gather additional documentation. This process is crucial for ensuring timely and accurate reimbursement for healthcare services.

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

To thrive as an Insurance Billing Specialist, you need a solid understanding of medical billing procedures, insurance claim processing, and knowledge of healthcare regulations, often supported by a relevant certification such as Certified Professional Biller (CPB). Familiarity with billing software, electronic health record (EHR) systems, and coding systems like ICD-10 and CPT is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this role. These competencies ensure accurate and timely claim submissions, minimize errors, and facilitate smooth reimbursement processes for healthcare providers.

What are Insurance Billing Specialists?

Insurance Billing Specialists are professionals who manage the processing of medical claims and ensure accurate billing to insurance companies. They review patient records, prepare and submit claims, follow up on unpaid claims, and resolve billing discrepancies. Their role is crucial in healthcare settings, as they help providers receive proper reimbursement for services while ensuring compliance with insurance policies and regulations. They also communicate with patients and insurance representatives to clarify coverage or billing issues.

Is it hard to get hired as a medical biller?

Getting hired as an insurance billing specialist can vary depending on experience, certifications, and the job market. Candidates with knowledge of medical coding, billing software, and strong attention to detail tend to have better prospects. Entry-level positions may be easier to obtain with relevant training or certification programs.

How much does a billing specialist make in the US?

The average salary for an Insurance Billing Specialist in the US is around $40,000 to $50,000 per year, depending on experience, location, and certifications. Many billing specialists also earn additional benefits and may work in healthcare settings that require familiarity with billing software and insurance policies.

What is the highest paying medical billing job?

The highest paying medical billing-related roles often include senior billing managers, billing directors, or specialized coding professionals such as Certified Professional Coders (CPC) with managerial responsibilities. These positions typically require extensive experience, advanced certifications, and strong knowledge of billing systems and healthcare regulations, leading to higher salaries within the medical billing field.

What is the difference between Insurance Billing Specialist vs Medical Coder?

AspectInsurance Billing SpecialistMedical Coder
CredentialsHigh school diploma, certification (e.g., Certified Billing and Coding Specialist)Certification (e.g., CPC, CCS) often required
Work EnvironmentMedical offices, hospitals, billing companiesHospitals, clinics, billing companies
Primary ResponsibilitiesSubmitting insurance claims, follow-up, payment postingAssigning codes to diagnoses and procedures for billing
Industry UsageCommonly employed in healthcare billing departmentsUsed in medical record documentation and billing

While both roles are essential in healthcare revenue cycle management, the Insurance Billing Specialist focuses on submitting and managing insurance claims, whereas the Medical Coder assigns accurate codes to medical services for billing purposes. They often work closely but have distinct responsibilities within the billing process.

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Insurance Billing Specialist jobs near you
Infographic showing various Insurance Billing Specialist job openings in the United States as of June 2026, with employment types broken down into 77% Full Time, and 23% Part Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,012 per year, or $19.2 per hour.
Insurance Billing Specialist

Insurance Billing Specialist

West Texas Pediatric Dentistry

Midland, TX • On-site

$15 - $25/hr

Full-time

Posted 28 days ago

Job description

Job Opening: Insurance Billing Specialist

Job Description

West Texas Pediatric Dentistry is excited to announce an opening for a dedicated and experienced Insurance Billing Specialist to join our growing practice. This vital role is integral to the smooth operation of our financial services, ensuring that both patient and insurance billing are handled with precision and care. This is a Full-Time position located in our office in West Texas. Please note that this is not a remote job, and the selected candidate will be expected to work from the office during regular business hours.

The ideal candidate for this position will have a proven track record in medical or dental insurance billing, a detailed understanding of dental insurance policies, and the ability to manage multiple tasks effectively. Our practice is dedicated to providing exceptional dental care to children in a warm and welcoming environment, and the Insurance Billing Specialist will play a crucial role in maintaining the seamless operation of our billing and insurance processes.

Duties and Responsibilities
  • Review patient bills for accuracy and completeness and obtain any missing information necessary for successful claim submission.
  • Submit billing data to insurance providers.
  • Work with dental assistants to ensure correct coding for insurance claims.
  • Monitor and record late payments and follow up on missed payments.
  • Process insurance claims and ensure that payments are made in a timely manner.
  • Follow up on insurance claims and ensure that payments are applied properly.
  • Appeal denied claims as needed, providing additional information and documentation to reverse denial decisions.
  • Post insurance payments promptly and accurately to patient accounts.
  • Notify patients of outstanding balances and work with them to facilitate payments.
  • Maintain and update billing system with rate changes, new procedures, etc.
  • Work closely with the front office team to ensure proper billing and collection procedures are followed.
  • Prepare and send detailed billing reports to the practice manager.
  • Respond to billing and insurance questions from both patients and staff.
  • Identify and resolve billing complaints promptly.
  • Train new staff on billing procedures and practices as needed.
Requirements
  • Positive attitude and strong interpersonal skills.
  • Proven experience as an Insurance Billing Specialist in a medical or dental setting preferred.
  • Strong understanding of billing software and electronic medical records.
  • Knowledge of insurance policies and regulations.
  • Ability to manage multiple tasks and remain organized in a fast-paced environment.
  • Excellent communication skills, both verbal and written.
  • Detail-oriented with a high degree of accuracy.
  • High school diploma required; further education in Medical Billing or related field preferred.
  • Bilingual in English and Spanish preferred.
  • Ability to send claims, appeal denied claims, post insurance payments, notify patients of outstanding balances and collect outstanding balances effectively.
  • Must demonstrate ability to work closely with a team, especially the front office team, to ensure that proper billing actions are consistently applied.