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Medicare Part B information

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How much do medicare part b jobs pay per hour?

As of Aug 10, 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 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.

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 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.
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 Billing Specialist

Healthcare Nursing Center

Charleston, IL

$17.25 - $22/hr

Full-time

Re-posted 19 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