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Medicare Billing Representative Jobs (NOW HIRING)

SpecialtyRx, Inc.

Billing Representative

Ridgefield Park, NJ · On-site

$19 - $25/hr

Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary. * Follow up and resolved pending billing issues. Billing Pharmacy Representative Requirements: * H.S. diploma ...

CareOne

Billing Representative

Springfield, NJ · On-site

$18.50 - $24.25/hr

Now Hiring - Billing Representative - Springfield, NJ Hours: M - F 8:30 - 5:00 The Billing ... Aware of all compliance documentation needed for Medicare B Billing requirements. * Follow Up ...

CareOne

Billing Representative

Springfield, NJ

$18.50 - $24.25/hr

Now Hiring - Billing Representative - Springfield, NJ Hours: M - F 8:30 - 5:00 The Billing ... Aware of all compliance documentation needed for Medicare B Billing requirements. * Follow Up ...

CareOne

Billing Representative

Springfield, NJ

$18.50 - $24.25/hr

Now Hiring - Billing Representative - Springfield, NJ Hours: M - F 8:30 - 5:00 The Billing ... Aware of all compliance documentation needed for Medicare B Billing requirements. * Follow Up ...

OPTIMAL BALANCE PHARMACY LLC

Billing Rep

Houston, TX · On-site

$16.50 - $22/hr

Billing Representative - Compounding PharmacyPosition Summary We are seeking a detail-oriented and ... Ensure compliance with HIPAA, Medicare regulations, payer guidelines, and company policies ...

OPTIMAL BALANCE PHARMACY LLC

Billing Rep

Houston, TX · On-site

$16.50 - $22/hr

Billing Representative - Compounding PharmacyPosition Summary We are seeking a detail-oriented and ... Ensure compliance with HIPAA, Medicare regulations, payer guidelines, and company policies ...

RxAdvance

Medicare Enrollment & Billing Specialist

Tampa, FL · On-site

$17.50 - $23.75/hr

Act as a liaison between Medicare representatives, healthcare providers, and patients. * Process ... Reconcile membership and billing reports as required by CMS, MassHealth and Employer groups (both ...

Trans-Care Ambulance

Billing Representative

Terre Haute, IN · On-site

$17 - $22/hr

Collection Account Representative Position Summary: We are seeking a detail-oriented Collection ... Knowledge of Medicare, Medicaid, Commercial Insurance and patient billing process preferred, but ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs ...

BrightSpring

Medicare D Billing Representative

Louisville, KY · Remote

$15.75 - $20.25/hr

The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs ...

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Medicare Billing Representative information

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How much do medicare billing representative jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for medicare billing representative in the United States is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.36 per hour, depending on experience, location, and employer.

What does a Medicare Billing Representative do?

A Medicare Billing Representative is responsible for handling billing processes related to Medicare insurance claims. They submit claims to Medicare, follow up on unpaid claims, ensure accurate coding, and resolve billing issues or discrepancies. Their role often involves working with healthcare providers, patients, and insurance companies to ensure that services are billed correctly and payments are received timely. Strong attention to detail and knowledge of Medicare regulations are essential in this role.

What are the key skills and qualifications needed to thrive as a Medicare Billing Representative?

To excel as a Medicare Billing Representative, you need a solid understanding of medical billing and coding, healthcare reimbursement policies, and a high school diploma or equivalent, with additional certification (such as Certified Professional Biller) often preferred. Familiarity with billing software, electronic health records (EHR) systems, and Medicare regulations is essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve billing issues with patients and insurance providers. These competencies are crucial for minimizing claim denials, ensuring compliance, and optimizing reimbursement for healthcare organizations.

What are some common challenges faced by Medicare Billing Representatives and how can they be managed?

Medicare Billing Representatives often encounter challenges such as staying current with frequently changing Medicare regulations, managing denied or rejected claims, and accurately coding complex medical procedures. To manage these, it’s important to participate in ongoing training, utilize reliable billing software, and maintain clear communication with healthcare providers and insurance representatives. Building strong organizational skills and attention to detail can also help ensure compliance and reduce errors in claims processing.

What is the difference between Medicare Billing Representative vs Medical Billing Specialist?

AspectMedicare Billing RepresentativeMedical Billing Specialist
CredentialsHigh school diploma, Medicare-specific trainingHigh school diploma, billing certifications often preferred
Work EnvironmentHealthcare facilities, insurance companies, billing officesHospitals, clinics, medical offices, billing companies
Employer & IndustryPrimarily healthcare providers and Medicare insurersVarious healthcare settings, including private practices and hospitals
Common Search & ComparisonYesYes

The main difference is that Medicare Billing Representatives focus specifically on Medicare claims and regulations, while Medical Billing Specialists handle a broader range of insurance claims across multiple payers. Both roles require knowledge of billing procedures, but Medicare Billing Representatives have specialized training related to Medicare policies and billing processes.

More about Medicare Billing Representative jobs

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

The top searched job categories for Medicare Billing Representative jobs are:

Medicare Billing Representative jobs near you
Infographic showing various Medicare Billing Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $42,166 per year, or $20.3 per hour.

Billing Representative

SpecialtyRx, Inc.

Ridgefield Park, NJ • On-site

$19 - $25/hr

Full-time

Re-posted 19 days ago

SpecialtyRx rating

6.4

Company rating: 6.4 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

68th of 113 rated pharmacies

Job description

SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location.
Hours:12:00pm-8:00pm, Monday through Friday and rotating weekends

Must be able to train for 3 weeks onsite
Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch
Billing Representative Responsibilities:
  • Perform duties assigned by the Billing Supervisor.
  • Research and establish patient eligibility coverage with insurance providers (state and private)
  • Determine and process insurance rejections by the daily report.
  • Maintain and update patient billing and insurance information in the system.
  • Submit prior authorizations for State insurance.
  • Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
  • Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
  • Follow up and resolved pending billing issues.

Billing Pharmacy Representative Requirements:
  • H.S. diploma or equivalent.
  • Courteous and polite phone skills.
  • Computer literate.
  • Ability to work nights and weekends.
  • Previous experience in Retail pharmacy is a must.
  • Experience in Long Term Care Pharmacy. (Preferred)
  • Must be able to work independently and as a team.
  • The ability to multitask and work in a fast-paced environment is a must.
  • Experience in New York Pharmacy billing claims. (Preferred)
  • Frameworks/ECM knowledge is a plus.
  • Must be detail-oriented.
EEO Statement:
Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.
EO/Minorities/Females/Disabled/Veterans

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