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Medical Billing Customer Service Representative Jobs

Bannerhealth

Customer Services Trainer/QC

Sonora, CA · On-site

Associate's degree involving business/communication courses or two years' experience as a medical billing customer service representative in a healthcare industry. * Requires excellent verbal ...

Annuity Health, LLC

Remote Customer Service Representative

$16.50 - $22.25/hr

Remote Customer Service Representative The Remote Customer Service Representative is responsible for phone contact with patients to collect payment for medical bills on behalf of our clients. This ...

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How much do medical billing customer service representative jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical billing customer service representative in the United States is $19.35, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $21.15 per hour, depending on experience, location, and employer.

How to become a medical billing customer service representative?

To become a medical billing customer service representative, candidates typically need a high school diploma or equivalent, along with knowledge of medical billing processes and insurance procedures. Many employers prefer candidates with certification in medical billing or coding, such as the Certified Professional Biller (CPB) or Certified Coding Associate (CCA). Strong communication skills, attention to detail, and proficiency with billing software are also important for success in this role.

What are some common challenges faced by medical billing customer service representatives and how can they be addressed?

Medical Billing Customer Service Representatives often navigate complex insurance policies and resolve billing discrepancies, which can be challenging when dealing with frustrated patients or payers. Staying up to date on insurance guidelines and maintaining clear, empathetic communication helps address misunderstandings and build trust. It's also important to collaborate closely with billing specialists and healthcare providers to ensure accurate information is relayed and issues are resolved efficiently. Regular training and leveraging support from experienced team members can further ease these challenges and promote professional growth.

What are the key skills and qualifications needed to thrive as a medical billing customer service representative?

A Medical Billing Customer Service Representative should possess knowledge of medical billing procedures, insurance claims processing, and basic healthcare terminology, usually supported by a high school diploma or equivalent. Familiarity with billing software, electronic health records (EHR) systems, and sometimes certifications like Certified Medical Reimbursement Specialist (CMRS) are highly valued. Strong communication, problem-solving, and patience are crucial soft skills for effectively assisting patients and resolving billing inquiries. These skills are essential to ensure accurate billing, maintain patient satisfaction, and facilitate smooth revenue cycle management for healthcare organizations.

What does a medical billing customer service representative do?

A Medical Billing Customer Service Representative is responsible for assisting patients, healthcare providers, and insurance companies with questions related to medical bills and insurance claims. They help resolve billing issues, explain charges, process payments, and verify insurance coverage. Their role is crucial in ensuring patients understand their financial responsibilities and that billing processes run smoothly between all parties involved.

What is the difference between Medical Billing Customer Service Representative vs Medical Coding Specialist?

AspectMedical Billing Customer Service RepresentativeMedical Coding Specialist
CredentialsHigh school diploma or equivalent; certification often preferredCertification in medical coding (CPC, CCS) typically required
Work EnvironmentOffice setting, healthcare facilities, or remoteOffice-based, healthcare facilities, or remote
Employer & Industry UsageHospitals, clinics, billing companiesHospitals, clinics, insurance companies
Primary FocusHandling patient inquiries, billing issues, insurance verificationReviewing medical records, assigning codes for billing

While both roles are essential in healthcare revenue cycle management, Medical Billing Customer Service Representatives focus on patient interactions and billing inquiries, whereas Medical Coding Specialists concentrate on accurately coding medical procedures and diagnoses for billing purposes.

Is it hard to get hired as a medical billing customer service representative?

Getting hired as a medical billing customer service representative typically requires relevant experience, good communication skills, and knowledge of billing software or healthcare regulations. Entry-level positions may be easier to obtain, but competition can vary based on location and employer requirements.
More about Medical Billing Customer Service Representative jobs
What states have the most Medical Billing Customer Service Representative jobs? States with the most job openings for Medical Billing Customer Service Representative jobs include:
What job categories do people searching Medical Billing Customer Service Representative jobs look for? The top searched job categories for Medical Billing Customer Service Representative jobs are:
Medical Billing Customer Service Representative jobs near you
Infographic showing various Medical Billing Customer Service Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,254 per year, or $19.4 per hour.

Billing Customer Service Representative

Southwoods Health

Boardman, OH • On-site

$14.25 - $18.25/hr

Other

Re-posted 25 days ago

Southwoods Health rating

6.3

Company rating: 6.3 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Billing Customer Service Representative
Location: Southwoods Executive Centre - Boardman, OH
Status: Full-time
Schedule: Monday-Friday (Weekly rotation: 8:00 AM - 4:30 PM and 8:30 AM - 5:00 PM)
Be the Voice of Southwoods Health
At Southwoods Health, we believe the patient experience extends far beyond the clinical exam room. As a Billing Customer Service Representative, you are the primary point of contact for our patients' financial inquiries. We are seeking a compassionate, professional, and detail-oriented individual who can deliver clear financial solutions while upholding our signature standard of "patient-first" care.
How You'll Make a Difference:
  • Patient Advocacy: Act as the primary point of contact for all incoming billing calls, providing courteous, empathetic, and timely resolutions to patient inquiries.
  • Financial Guidance: Educate patients on financial assistance programs, assist in establishing manageable payment plans, and process account adjustments or settlements in accordance with company policy.
  • Account Management: Proactively manage daily billing worklists, monitor delinquent accounts, and coordinate the formal review and submission of accounts to external collections when necessary.
  • Financial Assistance (HCAP) Coordination: Analyze and process Hospital Care Assurance Program (HCAP) applications based on Federal Poverty Guidelines, maintaining meticulous audit logs and ensuring strict document retention.
  • Documentation & Compliance: Systematically update patient billing records to maintain a clear documentation trail and ensure 100% compliance with all regulatory healthcare agencies.
What You'll Need to Succeed:
  • Education & Experience: Training or coursework in business office activities and strong computer proficiency. Prior experience in a medical billing or healthcare customer service setting is highly preferred.
  • Medical Literacy: Foundational knowledge of medical terminology is required.
  • Expert Communication: Exceptional verbal communication skills with a proven ability to handle complex financial conversations with empathy and professional de-escalation techniques.
  • Analytical Thinking: Strong problem-solving skills with the ability to exercise prudent judgment and reasoning to resolve complex account discrepancies.
  • Integrity: Strong ethical and moral principles, with an uncompromised commitment to maintaining patient confidentiality (HIPAA) and driving patient satisfaction.

Why Southwoods?
Join an award-winning healthcare system that truly values your contribution to the revenue cycle and the overall patient journey. We offer a professional, stable work environment at our Southwoods Executive Centre with a consistent Monday-Friday schedule.
At Southwoods, it's not just about the treatment, but how you're treated. #SWH
www.southwoodshealth.com

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