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Medicare Billing Jobs (NOW HIRING)

RxAdvance

Medicare Enrollment & Billing Specialist

Tampa, FL · On-site

$17.50 - $23.75/hr

The Medicare Billing & Enrollment Specialist is responsible for the enrollment, disenrollment, and billing process for Medicare Advantage Plans. They will provide key support across the organization ...

Journey

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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How much do medicare billing jobs pay per hour?

As of Aug 16, 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 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.

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.

How to get certified in Medicare billing?

To become certified in Medicare billing, individuals typically complete a training program or course in medical billing and coding, focusing on Medicare policies and procedures. Certification options include the Certified Professional Biller (CPB) from the American Academy of Professional Coders (AAPC) or the Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association (NHA), which demonstrate proficiency in billing practices and compliance. Gaining experience with billing software and understanding Medicare regulations are also important steps.

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 does a Medicare Billing do?

A Medicare Billing specialist is responsible for processing and submitting claims for Medicare-covered services, ensuring accuracy and compliance with regulations. They verify patient information, code procedures correctly, and work with insurance companies to resolve billing issues, often using billing software and understanding healthcare policies.

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.

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, 83% Full Time, 11% Part Time, and 4% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $35,799 per year, or $17.2 per hour.

MEDICARE SPECIALIST (Medicare Billing)

Stance Health Solutions

CA • On-site, Remote

$23.67 - $29.77/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Type
Full-time
Description
Position Overview
This position collaborates with global and domestic cross-functional teams (order to cash), including Intake, Customer Care, and Billing, to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility. Responsibilities include inbound and outbound calls, insurance verification & payer change, invoice review, appeals and denial resolution, payment processing, and interpretation of claims and EOBs, all within a compliant, audit-ready framework.
This position operates in a call queue environment and serves as the primary point of contact for inbound patient billing inquiries within the Revenue Cycle Management (RCM) team, with a strong focus on Medicare-related billing, eligibility, and claims resolution. The role is responsible for delivering a high level of patient support while ensuring compliance with Medicare guidelines, CMS requirements, and DMEPOS billing standards.
Key Responsibilities
  • Handle high-volume inbound and outbound calls related to Medicare billing statements, coverage, payment plans, and coordination of benefits (COB)
  • Accurately document all patient interactions, including inquiries, complaints, and resolutions, ensuring compliance with Medicare and internal documentation standards
  • Interpret EOBs and explain Medicare patient responsibility, coverage limitations, and claim outcomes
  • Verify insurance eligibility, benefits, and coverage through payer portals, with a focus on Medicare qualification and active coverage
  • Review and recalculate invoices as needed to ensure alignment with Medicare billing rules and reimbursement guidelines
  • Manage and resolve denials and appeals, ensuring proper documentation and adherence to Medicare requirements for medical necessity and claims processing including Medicare audits.
  • Request and validate clinical documentation, prescriptions, and supporting records required to meet Medicare medical necessity standards
  • Identify and document compliance or non-compliance with treatment requirements, as applicable to Medicare coverage criteria
  • Coordinate with internal teams to ensure claims are clean, accurate, and ready for submission or resubmission
  • Respond to patient communications across multiple channels, including phone, email, portal, and fax
  • Route complex issues to appropriate teams while maintaining ownership of resolution
  • Ensure adherence to HIPAA, confidentiality, and Medicare compliance requirements at all times
  • Follow up on open tasks, worklists, and outstanding issues in a timely manner
  • Support equipment recovery processes when treatment ends or Medicare benefits terminate
  • Maintain knowledge of Medicare billing, reimbursement guidelines, and DMEPOS requirements
  • Identify trends and escalate training or process improvement opportunities
  • Perform other duties and special projects as assigned
  • Developing standard operating procedures for Medicare Order-to Cash.

Qualifications
  • Minimum of 2 years of customer service experience, preferably in a role emphasizing ownership of the customer or patient financial experience
  • Minimum of 2 year of experience in healthcare, with extensive expertise to Medicare billing, RCM, or DMEPOS environments preferred
  • Understanding of healthcare terminology, with working knowledge of Medicare claims, EOBs, and patient responsibility
  • Strong customer service, problem-solving, and critical thinking skills, with the ability to navigate Medicare-related billing and coverage questions
  • Ability to manage high-volume inbound calls and communications while maintaining accuracy and compliance
  • Strong verbal and written communication skills, with the ability to explain Medicare billing, coverage, and denials in a clear and professional manner
  • High attention to detail, with the ability to identify and correct errors related to claims, documentation, and billing accuracy
  • Ability to multitask, prioritize, and follow through in a fast-paced, metrics-driven environment
  • Self-starter with the ability to work independently and collaboratively across teams
  • Flexible and adaptable to changing business needs, particularly in a growing Medicare-focused operation
  • Proficiency in billing systems and Microsoft Office 365; experience with Brightree or similar DME billing platforms preferred

Salary Description
$23.67 to $29.77

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