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Medical Billing Customer Service Representative information

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

As of Aug 17, 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.

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 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 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 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.

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.

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.

Customer Service Representative

PFS Group

Crystal City, TX • On-site

$13/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help patients understand and resolve their medical bills with clarity while delivering exceptional customer service. As a Customer Service Representative (CSR), you will play a key role in our call center by assisting patients with account questions, setting up payment plans, and providing thoughtful, attentive care. This is your opportunity to join a growing, friendly, and mission-driven team that values outstanding customer service, rewards strong performance, and is committed to doing the right thing for every patient.
Job Responsibilities
  • Communicate with patients by phone to resolve account balances
  • Help patients understand their bill and assist with payment options
  • Accurately document conversations and collect and verify patient information
  • Interact with patients over the phone, aiming to achieve first-call resolution by demonstrating empathy, patience, and professionalism
  • Meet daily and monthly performance metrics including call volume and quality
  • Collaborate with team leads and trainers to grow your knowledge and effectiveness

Qualifications and Skills
  • Customer service mindset and strong verbal communication skills
  • Ability to stay calm under pressure and handle sensitive conversations
  • Computer literacy (navigating multiple systems at once)
  • Experience in a call center or high-volume phone environment preferred
  • Healthcare or insurance background is a plus
  • CUBS, EPIC, or similar platform experience is a plus
  • Bilingual (Spanish/English) is a plus

Benefits
  • Earn up to $450 per month through our performance bonus program
  • 10 days PTO in your first year
  • Paid birthday off after your first year
  • Medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Company-provided life insurance and long-term disability
  • Weekday-only call center: no nights or weekends (variety of shifts available)
  • Referral bonus program
  • Friendly, mission-driven workplace with opportunities to grow

Workplace Expectations and Requirements
  • Employment is contingent upon successfully passing a pre-employment background check and drug screening
  • Professional appearance and conduct are expected at all times
  • PFS Group is a non-smoking workplace
  • Candidates must be legally authorized to work in the United States
  • This position is based on-site at our call center for the first 90 days
  • Remote work opportunities may be available after 90 days, contingent upon meeting performance, quality, and attendance standards

Ready to grow your career with purpose? Apply today and join one of the nation's fastest-growing patient financial services companies!

Apply