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Medicare Billing Specialist

Cumming, GA · On-site

$17.25 - $23.25/hr

We are seeking a Billing Specialist to join our team and support our mission through accurate, timely, and compassionate financial processing and communication. Position Overview: The Billing ...

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Medicare Billing information

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$5

$17

$30

How much do medicare billing jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medicare billing in the United States is $17.21, according to ZipRecruiter salary data. Most workers in this role earn between $8.17 and $26.20 per hour, depending on experience, location, and employer.

What is Medicare billing?

Medicare billing refers to the process of submitting claims and receiving payment for healthcare services provided to patients covered by Medicare, the federal health insurance program in the United States. This involves accurately coding medical procedures and diagnoses, ensuring compliance with Medicare regulations, and following up on claim status. Professionals in Medicare billing often work closely with healthcare providers and insurance companies to resolve discrepancies and ensure timely reimbursement.

What are the key skills and qualifications needed to thrive as a Medicare billing specialist?

To thrive as a Medicare Billing Specialist, you need a solid understanding of medical billing procedures, Medicare regulations, and healthcare reimbursement, often supported by a certificate in medical billing or coding. Familiarity with billing software, electronic health records (EHR) systems, and coding standards such as ICD-10 and CPT is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for accurately processing claims and resolving discrepancies. These skills and qualifications ensure compliance, minimize errors, and optimize timely reimbursement for healthcare providers.

What are some common challenges faced in a Medicare billing role, and how can new hires effectively navigate them?

One of the most common challenges in Medicare Billing is staying updated with frequently changing regulations and ensuring compliance with complex billing codes. New hires may also encounter denied claims or requests for additional documentation, which require careful attention to detail and persistence. To navigate these challenges, it's important to regularly review CMS updates, participate in ongoing training, and collaborate closely with other billing team members and healthcare providers. Developing strong organizational skills and a proactive approach to problem-solving will also help new employees succeed in this role.

What is the difference between Medicare Billing vs Medical Billing?

AspectMedicare BillingMedical Billing
CredentialsOften requires knowledge of Medicare policies and certificationsRequires general billing certifications, such as CPC or CPC-A
Work EnvironmentHospitals, clinics, government programsPrivate practices, hospitals, clinics
Industry UsagePrimarily in healthcare facilities dealing with Medicare patientsBroader healthcare settings including private insurance
Search/Comparison IntentFocuses on Medicare-specific billing processesGeneral medical billing practices across insurance types

Medicare Billing specifically involves processing claims for Medicare patients, requiring knowledge of Medicare policies. Medical Billing covers a wider range of insurance types and healthcare providers. While both roles involve billing procedures, Medicare Billing is specialized for government insurance programs, whereas Medical Billing encompasses various insurance providers and settings.

How to become a Medicare Billing specialist?

To become a Medicare Billing specialist, individuals typically need a high school diploma or equivalent, along with training in medical billing and coding. Certification such as Certified Professional Biller (CPB) or Certified Coding Associate (CCA) can enhance job prospects, and familiarity with billing software and Medicare regulations is essential.

Is it hard to get hired as a Medicare Billing?

Getting hired as a Medicare Billing specialist typically requires knowledge of healthcare billing procedures, familiarity with Medicare policies, and proficiency with billing software. While demand for these roles exists, competition can vary based on location and experience, and certifications such as Certified Professional Biller (CPB) can improve job prospects.

What does a Medicare biller do?

A Medicare biller is responsible for processing and submitting claims for Medicare patients, ensuring accurate coding and documentation to receive reimbursement. They verify patient information, follow billing regulations, and use billing software to manage claims efficiently.
More about Medicare Billing jobs

What cities are hiring for Medicare Billing jobs?

Cities with the most Medicare Billing job openings:

What are the most commonly searched types of Medicare Billing jobs?

The most popular types of Medicare Billing jobs are:

What states have the most Medicare Billing jobs?

States with the most job openings for Medicare Billing jobs include:

What job categories do people searching Medicare Billing jobs look for?

The top searched job categories for Medicare Billing jobs are:

What are popular job titles related to Medicare Billing jobs?

For Medicare Billing jobs, the most frequently searched job titles are:

Medicare Billing jobs near you
Infographic showing various Medicare Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 84% Full Time, 11% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $35,799 per year, or $17.2 per hour.

Medicare Billing Specialist

Healthcare Nursing Center

Charleston, IL • On-site

$17.25 - $22/hr

Full-time

Re-posted 16 days ago

Job description

Medicare Billing Specialist

Location: Charleston, Illinois (on-site)
Reports To: Billing Director

About the Opportunity

The Medicare Billing Specialist is responsible for ensuring accurate and timely billing of all Medicare claims within a skilled nursing environment. This role requires deep knowledge of Medicare regulations and a high level of precision.

Key Responsibilities

Medicare Billing

  • Prepare and submit Medicare Part A and Part B claims accurately and on time

  • Ensure compliance with PDPM and all Medicare billing guidelines

  • Verify documentation supports billing prior to submission

Accuracy & Compliance

  • Review claims for completeness and accuracy

  • Identify and resolve billing discrepancies or missing information

  • Stay up to date on Medicare regulations and changes

Denials & Follow-Up

  • Manage Medicare claim rejections and denials

  • Correct and resubmit claims promptly

  • Work closely with AR team to ensure payment is received

Systems

  • Utilize PointClickCare (PCC) for billing and claim management

  • Maintain accurate records and documentation within systems

Qualifications

  • MUST have SNF Medicare billing experience

  • 3+ years of Medicare billing experience in long-term care

  • Strong understanding of PDPM and Medicare regulations

  • Experience with PointClickCare (PCC) required

  • Detail-oriented with strong accuracy and compliance focus