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Medicare Part B information

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$5

$17

$30

How much do medicare part b jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medicare part b 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 Part B?

Medicare Part B is a part of the federal Medicare program that helps cover medically necessary services such as doctor visits, outpatient care, preventive services, and some home health care. Unlike Medicare Part A, which primarily covers hospital stays, Part B focuses on outpatient and preventive medical services. Enrollment in Part B is optional but highly recommended for those who need regular medical care outside of hospital settings. Beneficiaries typically pay a monthly premium for Part B coverage, and there may be additional costs like deductibles and coinsurance.

What skills and qualifications are needed to thrive as a Medicare Part B specialist?

To thrive as a Medicare Part B Specialist, you need in-depth knowledge of Medicare regulations, claims processing, and healthcare billing, often supported by a background in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR), and certification such as Certified Professional Biller (CPB) is highly beneficial. Strong attention to detail, analytical thinking, and effective communication skills help resolve complex billing issues and interact with providers and beneficiaries. These skills ensure accurate claims processing, regulatory compliance, and positive experiences for both patients and healthcare organizations.

What challenges do Medicare Part B specialists face when assisting clients with enrollment and coverage questions?

Medicare Part B specialists frequently encounter challenges such as explaining complex coverage details, navigating frequent policy updates, and addressing individual client circumstances that affect eligibility or benefits. They must stay updated on regulations and be prepared to clarify confusing terminology for clients, many of whom may be unfamiliar with healthcare insurance processes. Effective communication and patience are key, as is collaborating with other team members like claims processors and customer service representatives to ensure clients receive accurate and timely assistance.

What is the difference between Medicare Part B vs Medical Billing Specialist?

AspectMedicare Part BMedical Billing Specialist
CredentialsMedicare certification, sometimes licensedCertification in medical billing or coding (e.g., CPC)
Work EnvironmentHealthcare settings, government programsMedical offices, billing companies
Industry UsageHealth insurance, government healthcare programsHealthcare providers, insurance companies
Primary FocusProvides outpatient coverage for beneficiariesProcesses and manages medical claims and billing

Medicare Part B is a health insurance program providing outpatient coverage for eligible individuals, while a Medical Billing Specialist manages the billing process for healthcare providers. Although both roles are involved in healthcare finance, Medicare Part B focuses on insurance benefits, whereas Medical Billing Specialists handle claims and reimbursements for various insurance plans.

Is a Medicare Part B career a stable job?

A career related to Medicare Part B, such as a healthcare administrator or insurance specialist, can offer stability due to the ongoing demand for Medicare services and government funding. Job stability depends on factors like experience, certifications, and the healthcare industry’s overall growth, which is expected to continue as the population ages.
More about Medicare Part B jobs

What states have the most Medicare Part B jobs?

States with the most job openings for Medicare Part B jobs include:

What job categories do people searching Medicare Part B jobs look for?

The top searched job categories for Medicare Part B jobs are:

Medicare Part B jobs near you
Infographic showing various Medicare Part B job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 82% Full Time, 6% Part Time, and 9% Contract. Highlights an 91% In-person, 3% Hybrid, and 6% Remote job distribution, with an average salary of $35,799 per year, or $17.2 per hour.

Medicare Pt B Billing Specialist

Trilogy Health Services

Louisville, KY

Full-time

Medical, Dental, Retirement

Re-posted 10 hours ago

Job description

Whether you’re looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you’ve ever belonged.

Six months of training, orientation and fun!

We believe in setting our employees up for success. That’s why your first six months are referred to as your “blue-badge” period – a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.


Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services – a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.


The Medicare Part B Billing & Accred. Specialist serves as a subject matter expert (SME) in Medicare Part B billing and documentation requirements. This role is responsible for independently managing complex pharmacy billing activities, ensuring compliance with CMS regulations, and driving resolution of systemic issues impacting reimbursement and operational effectiveness.

The position requires strong analytical skills, professional communication with internal and external stakeholders, and the ability to operate with minimal supervision while contributing to cross-functional initiatives and process improvements.

  • Serves as a Medicare Part B subject matter expert (SME), responsible for interpreting and applying CMS regulations, Local and National Coverage Determinations, and payer-specific billing and documentation requirements.
  • Ensures all claims are submitted accurately and in compliance with Medicare Part B, Major Medical, and Medicaid billing guidelines.
  • Maintains audit-ready documentation standards and ensures all required documentation exists, is complete, and supports billed services.
  • Supports ongoing compliance with federal and state regulations, CMS guidance, and applicable pharmacy/DMEPOS accreditation standards.
  • Owns the end-to-end resolution of complex, high-risk, or escalated claims, including denied or rejected claims, ensuring timely and accurate adjudication.
  • Independently prioritizes and manages workload across multiple systems and platforms with minimal direction.
  • Resolves billing discrepancies by coordinating with pharmacy staff, prescribers, payers, and business office teams.
  • Identifies, analyzes, and trends systemic billing and documentation issues; determines root causes and drives appropriate escalation.
  • Partners with leadership to recommend and implement corrective actions that improve reimbursement outcomes and reduce compliance risk.
  • Contributes to process improvement initiatives, workflow optimization, and standardization of billing practices.
  • Assists in developing and maintaining policies, procedures, and best practices related to Medicare Part B billing and compliance.
  • Collaborates with internal departments including Revenue Cycle, Pharmacy Operations, and Business Office teams to resolve complex billing issues and improve processes.
  • Engages directly with external stakeholders, including prescriber offices, payers, and other partners, requiring professional and effective communication.
  • Represents the Medicare Part B billing function in cross-functional meetings, audits, and external discussions as needed.
  • Ensures patient profiles accurately reflect payer information, coverage updates, and required exceptions.
  • Verifies patient consent requirements and ensures compliance with documentation timelines (including periodic prescriber assessments and re-education requirements).
  • Monitors documentation completeness and timeliness, proactively addressing gaps prior to billing.
  • Supports internal and external audits, accreditation surveys, and regulatory inspections, including follow-up on corrective action plans.
  • Meets or exceeds performance metrics established by Revenue Cycle leadership, while balancing quality and compliance expectations.
  • Provides detailed billing analysis and reporting (e.g., Medicare Part B billing data by location), identifying trends and opportunities for improvement.
  • Other duties as assigned.

Travel:  Yes: Minimally, as required (Typically less than 10%)

Qualifications

  • Education: High School / GED
  • Experience: 5-8 years

Licenses and Certifications:

  • Associate degree in accounting, business, or related field preferred

Apply