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Medical Claims Billing Jobs (NOW HIRING)

Claims & Billing Analyst

Miami, FL · On-site

$45K - $61K/yr

Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management. * Strong knowledge of healthcare billing codes, insurance claim procedures, and payer guidelines.

Claims Associate

Fort Lauderdale, FL · On-site

$18.05 - $20.90/hr

The ideal candidate brings strong knowledge of medical claims, billing practices, and customer service, along with the ability to work efficiently in a fast-paced office environment. Responsibilities ...

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Medical Billing Specialist

Flowood, MS · On-site

$15.25 - $19.75/hr

Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry ... Respond to medical-record requests and requests for additional information. * Perform other duties ...

Medical Billing Specialist

Austin, TX · Remote

$50K - $62K/yr

Medical Billing Specialist Healthcare practices run better when claims are submitted accurately, payments are recorded correctly, and follow-up happens on time. We're looking for someone who takes ...

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Medical Claims Billing information

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How much do medical claims billing jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for medical claims billing in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 per hour, depending on experience, location, and employer.

What is the highest salary for a medical biller?

The highest salaries for medical billers can reach around $60,000 to $70,000 annually, especially for experienced professionals with certifications and specialized skills. Salaries vary based on location, experience, and employer size, with some senior or managerial roles earning higher compensation.

What is the difference between Medical Claims Billing vs Medical Coding?

AspectMedical Claims BillingMedical Coding
Primary FocusSubmitting and managing insurance claims for reimbursementAssigning standardized codes to medical procedures and diagnoses
Required CertificationsBilling certifications, sometimes CPC or similarCertified Professional Coder (CPC) or equivalent
Work EnvironmentMedical offices, billing companies, hospitalsHospitals, clinics, billing departments
Industry UsageRevenue cycle management, insurance reimbursementMedical record documentation, coding accuracy

Medical Claims Billing and Medical Coding are closely related roles within healthcare revenue cycle management. Billing focuses on submitting claims and ensuring payment, while coding involves translating medical services into standardized codes. Both require specific certifications and are essential for accurate reimbursement and compliance.

What is medical claims billing?

Medical claims billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by healthcare providers. It involves translating healthcare services into billing codes, preparing claim forms, and ensuring that all necessary information is included for insurance reimbursement. Medical claims billers work closely with healthcare professionals, insurance companies, and sometimes patients to resolve any issues or discrepancies. The job requires attention to detail, knowledge of medical terminology and billing codes, and an understanding of insurance regulations and procedures.

What is the highest paying medical billing job?

The highest paying medical billing roles are often senior positions such as Medical Billing Manager or Billing Director, which can earn six-figure salaries. These roles typically require extensive experience, leadership skills, and knowledge of billing software and healthcare regulations.

What are the key skills and qualifications needed to thrive as a Medical Claims Billing Specialist, and why are they important?

To thrive as a Medical Claims Billing Specialist, you need a solid understanding of medical terminology, insurance procedures, coding systems (such as CPT and ICD-10), and typically a certification in medical billing or coding. Familiarity with billing software, electronic health records (EHR) systems, and claims processing platforms is essential. Attention to detail, organizational skills, and the ability to communicate clearly with patients and insurance companies are standout soft skills in this role. These skills ensure accurate claims submission, reduce denials, and facilitate timely reimbursement for healthcare providers.

What are some common challenges faced in a Medical Claims Billing role, and how can they be addressed?

One common challenge in Medical Claims Billing is navigating frequent changes in insurance policies and regulations, which can lead to claim denials or delays if not properly managed. Staying updated on payer requirements and maintaining strong attention to detail when entering patient and billing information are essential. Effective communication with healthcare providers and insurance companies is also important for quickly resolving discrepancies. Many professionals find that continued education and collaboration with team members help them stay ahead in this fast-paced environment.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller can vary depending on experience, certifications, and the local job market. Having knowledge of billing software, coding systems, and healthcare regulations can improve employment prospects, but entry-level positions are often available for those with basic training or certification. Overall, it is a feasible career path with the right skills and credentials.

Is there a demand for medical billers?

Medical billers are in high demand due to the ongoing need for accurate billing and coding in healthcare. The profession offers stable employment opportunities, especially for those with certification and familiarity with billing software and insurance procedures.
More about Medical Claims Billing jobs
What cities are hiring for Medical Claims Billing jobs? Cities with the most Medical Claims Billing job openings:
What states have the most Medical Claims Billing jobs? States with the most job openings for Medical Claims Billing jobs include:
Infographic showing various Medical Claims Billing job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Medical Claims Billing Specialist

Privia Health

Houston, TX • On-site

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Privia Health rating

6.7

Company rating: 6.7 out of 10

Based on 7 frontline employees who took The Breakroom Quiz


Job description

Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Job Description
*This position is a hybrid full-time role that requires in office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but subject to change for internal meetings, trainings, and conferences.*
Under the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The Medical Claims Specialist will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role.
Primary Job Duties:
  • Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives
  • Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques
  • Collaborate with internal teams (Performance, Operations, Sales) as well as care center staff when appropriate
  • Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements.
  • Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
  • Drive toward achievement of department's daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals
  • Other duties as assigned

Qualifications
  • Education: High School diploma
  • 3+ years medical claims experience in a physician medical billing office
  • Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.
  • Advanced Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred
  • Must understand Explanation of Benefit (EOB) statements
  • Google Suite experience preferred
  • Athena EMR experience preferred
  • Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely for days not in the office
  • Comfortable speaking in front of groups
  • Excellent written and verbal communication
  • Willingness to train and mentor other team members
  • Self-starter with great time management skills
  • Ability to work independently and multi-task in a fast paced environment
  • Problem solver with good analytical skills and solution-oriented approach
  • Independent decision maker with strong research skills
  • Must comply with HIPAA rules and regulations

The hourly range for this role is $24/hr - 26.45/ hr in base pay and exclusive of any bonus or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% based on performance in the role. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only, not applicable for onsite/in office work):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

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