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How much do patient accounts clerk jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for patient accounts clerk in the United States is $25.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $32.21 per hour, depending on experience, location, and employer.

What is a patient accounts clerk?

Patient Accounts Clerks are administrative professionals who handle billing and payment processes in healthcare facilities. They are responsible for maintaining patient financial records, processing invoices, verifying insurance coverage, and resolving billing discrepancies. These clerks play a crucial role in ensuring accurate and timely billing so that healthcare providers receive proper reimbursement and patients understand their financial obligations. Their tasks often involve interacting with patients, insurance companies, and internal departments to address account-related inquiries.

What are the key skills and qualifications needed to thrive as a patient accounts clerk?

To thrive as a Patient Accounts Clerk, you need strong numerical accuracy, attention to detail, and foundational knowledge of medical billing, insurance, and accounting, often supported by a high school diploma or associate degree. Familiarity with healthcare billing software, electronic health records (EHRs), and Microsoft Office applications is typically required. Excellent organizational skills, clear communication, and customer service orientation help you resolve billing issues and interact effectively with patients and insurance representatives. These skills are vital for ensuring accurate billing, timely payments, and positive patient experiences in healthcare financial operations.

What are the typical challenges faced by a patient accounts clerk in managing patient billing and insurance claims?

Patient Accounts Clerks often encounter challenges such as navigating complex insurance policies, resolving discrepancies in patient information, and ensuring timely billing and payments. They must communicate effectively with patients, insurance companies, and healthcare providers to clarify account details and resolve issues. Staying organized and up-to-date with changes in billing regulations is also essential to prevent errors and maintain compliance.

What is the difference between Patient Accounts Clerk vs Medical Billing Specialist?

AspectPatient Accounts ClerkMedical Billing Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification in medical billing preferred
Work EnvironmentHospitals, clinics, healthcare officesMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesProcessing patient payments, updating accounts, verifying insurance infoSubmitting claims, following up on reimbursements, coding procedures

The Patient Accounts Clerk primarily manages patient billing and account updates, while the Medical Billing Specialist focuses on submitting insurance claims and handling reimbursements. Both roles require knowledge of healthcare billing processes and work in healthcare settings, but the Medical Billing Specialist often requires more specialized billing and coding skills.

What are popular job titles related to Patient Accounts Clerk jobs?

For Patient Accounts Clerk jobs, the most frequently searched job titles are:

Patient Accounts Clerk jobs near you
Infographic showing various Patient Accounts Clerk job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 68% Full Time, 19% Part Time, and 9% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,635 per year, or $25.3 per hour.

Patient Acct Clerk

Westchester Medical Center

Valhalla, NY • On-site

Full-time

Re-posted 10 days ago

Job description

Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided to patients at Westchester Medical Center. Responsibilities include initial billing, investigation and reconciliation of problem claims, insurance follow up, filing, and other clerical tasks.
Responsibilities:
  • Prepares and submits claims to third party payers to obtain reimbursement for patient care.
  • Enters and reconciles billing and payment data on an automated system to maintain and update receivable status of patients' account.
  • Makes inquiries of medical records and admitting staff for clarification of diagnosis, insurance coverage or for other details necessary for the completion of required forms and maintenance of records.
  • Interacts with the Admitting Office, Business Office, or Medical Records Department to provide updated billing information.
  • Communicates with carriers and other third party payers by means of correspondence or by telephone to determine proper billing and receivable status.
  • Maintains and updates files and patient records with pertinent billing information.
  • Handles routine billing inquiries from patients, third party payors and other hospital staff.

Qualifications/Requirements:
Experience: Billing experience preferred. Will provide training.
Education: High school or equivalency diploma, required.
Licenses / Certifications:
Other: Possess strong communication skills, and Microsoft office aptitude (Word/Excel/Outlook. Must be comfortable with data entry utilizing multiple patient access programs and software. Knowledge of word processing and excel spreadsheets. Work effectively in a multi task fast paced environment prioritizing and completing tasks in a timely manner. Problem solving skills and attention to detail to assess and resolve conflict in a timely manner. Proficient in oral and written communications. Handles difficult or upset callers with the utmost professionalism and compassion.
Special Requirements: Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial authorizations. Microsoft office products such as Excel, Word and Outlook. Document imaging systems and vendor management.

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