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How to hire a billing assistant

Billing assistant hiring summary. Here are some key points about hiring billing assistants in the United States:

  • There are currently 362,156 billing assistants in the US, as well as 34,070 job openings.
  • Billing assistants are in the highest demand in Irvine, CA, with 5 current job openings.
  • The median cost to hire a billing assistant is $1,633.
  • It takes between 36 and 42 days to fill the average role in the US.
  • Human Resources use 15% of their expenses on recruitment on average.
  • On average, it takes around 12 weeks for a new billing assistant to become settled and show total productivity levels at work.

How to hire a billing assistant, step by step

To hire a billing assistant, you should clearly understand the skills and experience you are looking for in a candidate, and allocate a budget for the position. You will also need to post and promote the job opening to reach potential candidates. Here's a step-by-step guide on how to hire a billing assistant:

Here's a step-by-step billing assistant hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write a billing assistant job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new billing assistant
  • Step 8: Go through the hiring process checklist

What does a billing assistant do?

A billing assistant is primarily in charge of performing support tasks to maintain smooth billing operations in an establishment. Their responsibilities typically include preparing and processing invoices for clients, sending billing adjustments, printing and reviewing invoices and billings, receiving payments, and monitoring delinquent invoices, sending reminders as necessary. They may also close and balance payments, calculate discounts, and maintain records of all transactions. Moreover, a billing assistant must be alert and proactive for any errors and inconsistencies, dealing with them accordingly.

Learn more about the specifics of what a billing assistant does
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  1. Identify your hiring needs

    Before you post your billing assistant job, you should take the time to determine what type of worker your business needs. While certain jobs definitely require a full-time employee, it's sometimes better to find a billing assistant for hire on a part-time basis or as a contractor.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    Hiring the perfect billing assistant also involves considering the ideal background you'd like them to have. Depending on what industry or field they have experience in, they'll bring different skills to the job. It's also important to consider what levels of seniority and education the job requires and what kind of salary such a candidate would likely demand.

    This list shows salaries for various types of billing assistants.

    Type of Billing AssistantDescriptionHourly rate
    Billing AssistantFinancial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.$12-19
    Billing And Insurance CoordinatorA billing and insurance coordinator is responsible for coordinating with employees from different departments of an organization for billing and insurance processing purposes. Billing and insurance coordinators sort mail for distribution to appropriate personnel, performing administrative and clerical duties as needed, managing and releasing of invoices under the manager's supervision, and responding to employees' inquiries and concerns... Show more$12-28
    Billing RepresentativeA billing representative assists with the overall operations of the organization's billing department. Billing representatives post payments timely on the database, update account statements, generate financial reports, release invoices, and resolve account discrepancies... Show more$13-20
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Data Entry
    • Medicaid
    • Patient Accounts
    • CPT
    • Front Desk
    • Hippa
    • Insurance Verification
    • HIPAA
    • Scheduling Appointments
    • Billing System
    • Computer System
    • EOB
    • Insurance Billing
    Check all skills
    Responsibilities:
    • Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
    • Post insurance payments, explain patient what the EOB is about, collect payments from patients.
    • Communicate annual contracting, CPT, and ICD-9 yearly changes to doctor's offices by creation of formal notification.
    • Experience with billing systems and practices with CPT coding, ICD-9, and usages of coding for productive billing.
    • Bill insurance companies using ICD-9 coding.
    • Used denial reason codes on paper & electronic EOB in EMR/EHR software to examine denials.
    More billing assistant duties
  3. Make a budget

    Including a salary range in your billing assistant job description is one of the best ways to attract top talent. A billing assistant can vary based on:

    • Location. For example, billing assistants' average salary in new mexico is 44% less than in district of columbia.
    • Seniority. Entry-level billing assistants 34% less than senior-level billing assistants.
    • Certifications. A billing assistant with certifications usually earns a higher salary.
    • Company. Working for an established firm or a new start-up company can make a big difference in a billing assistant's salary.

    Average billing assistant salary

    $16.22hourly

    $33,745 yearly

    Entry-level billing assistant salary
    $27,000 yearly salary
    Updated December 17, 2025

    Average billing assistant salary by state

    RankStateAvg. salaryHourly rate
    1Maryland$41,010$20
    2Alaska$40,725$20
    3Massachusetts$40,406$19
    4California$38,354$18
    5New York$38,039$18
    6Illinois$36,672$18
    7North Dakota$36,055$17
    8Connecticut$36,015$17
    9Florida$34,604$17
    10Iowa$34,511$17
    11Wisconsin$34,502$17
    12Colorado$34,479$17
    13Ohio$34,025$16
    14North Carolina$33,979$16
    15Georgia$33,584$16
    16West Virginia$33,451$16
    17South Dakota$33,255$16
    18Missouri$33,229$16
    19Maine$33,011$16
    20Utah$32,884$16

    Average billing assistant salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1University of California-Berkeley$41,726$20.06
    2RS&H$41,609$20.002
    3bty DENTAL$37,397$17.983
    4Developmental Pathways$36,915$17.752
    5Lincare Holdings$36,295$17.45
    6Foley & Lardner$36,081$17.35
    7Nebraska Methodist Health System$36,013$17.313
    8Alston & Bird$35,861$17.244
    9ICONMA$35,690$17.16
    10Hometown Health Centers$35,635$17.131
    11American Addiction Centers$35,542$17.091
    12Family Service Association$35,427$17.03
    13Gallagher$34,927$16.79
    14ICF$34,850$16.75
    15Casa Central$34,833$16.75
    16John Staurulakis$34,505$16.591
    17Manley Deas Kochalski$34,470$16.57
    18COUNTRY Financial$34,357$16.52
    19Volt Systems LLC$34,340$16.51
    20Ultrahaptics$33,975$16.33
  4. Writing a billing assistant job description

    A good billing assistant job description should include a few things:

    • Summary of the role
    • List of responsibilities
    • Required skills and experience

    Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of a billing assistant job description:

    Billing assistant job description example

    · 2+ years of administrative experience in a busy office environment

    · Excellent customer service skills, including the ability to react appropriately in stressful situations and deal with difficult customer or vendor situations diplomatically

    · Able to switch tasks throughout the day, prioritize and manage repetitive tasks in a fast-paced environment

    · Strong communication skills at all levels

    · Demonstrable time management and organization skills

    · Practical experience and comfort with using Microsoft Office products

    The EmployBridge Story

    EmployBridge is the largest light industrial staffing supplier in the United States and a preeminent resource for professional staffing. We offer local expertise and service through our 400+ branches.

    EmployBridge offers a competitive benefits package which includes Medical/Dental/Vision, prescription drug benefits, 401(k), paid time off and holidays, a wellness program, and more. We also offer a variety of career paths and encourage promotion from within.

    At EmployBridge, we operate an entire family of specialty staffing companies that include: Decca Energy, ResourceMFG, Select Staffing, ProLogistix, ProDrivers, RemX Specialty Staffing, Westaff, and Remedy Intelligent Staffing. To find out more, visit us at www.employbridge.com.

    EmployBridge is an Equal Opportunity Employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, military or veteran status, genetic information, or any other characteristic protected by federal, state or local laws.

    Company DescriptionThe EmployBridge Story

    EmployBridge is the largest light industrial staffing supplier in the United States and a preeminent resource for professional staffing. We offer local expertise and service through our 400+ branches.

    EmployBridge offers a competitive benefits package which includes Medical/Dental/Vision, prescription drug benefits, 401(k), paid time off and holidays, a wellness program, and more. We also offer a variety of career paths and encourage promotion from within.

    At EmployBridge, we operate an entire family of specialty staffing companies that include: Decca, Hire Dynamics, ResourceMFG, Select Staffing, ProLogistix, ProDrivers, RemX Specialty Staffing, Westaff, and Remedy Intelligent Staffing. To find out more, visit us at www.employbridge.com.
  5. Post your job

    To find billing assistants for your business, try out a few different recruiting strategies:

    • Consider internal talent. One of the most important talent pools for any company is its current employees.
    • Ask for referrals. Reach out to friends, family members, and your current work to ask if they know any billing assistants they would recommend.
    • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level billing assistants with the right educational background.
    • Social media platforms. LinkedIn, Facebook, and Twitter have more than 3.5 billion users, and they're a great place for company branding and reaching potential job candidates.
    Post your job online:
    • Post your billing assistant job on Zippia to find and attract quality billing assistant candidates.
    • Use niche websites such as efinancialcareers, financialjobsweb.com, careerbank, financial job bank.
    • Post a job on free websites.
  6. Interview candidates

    During your first interview to recruit billing assistants, engage with candidates to learn about their interest in the role and experience in the field. During the following interview, you'll be able to go into more detail about the company, the position, and the responsibilities.

    Remember to include a few questions that allow candidates to expand on their strengths in their own words. Asking about their unique skills might reveal things you'd miss otherwise. At this point, good candidates can move on to the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new billing assistant

    Once you've decided on a perfect billing assistant candidate, it's time to write an offer letter. In addition to salary, it should include benefits and perks available to the employee. Qualified candidates may be considered for other positions, so make sure your offer is competitive. Candidates may wish to negotiate. Once you've settled on the details, formalize your agreement with a contract.

    You should also follow up with applicants who don't get the job with an email letting them know that you've filled the position.

    To prepare for the new employee's start date, you can create an onboarding schedule and complete any necessary paperwork, such as employee action forms and onboarding documents like I-9 forms, benefits enrollment, and federal and state tax forms. Human Resources should also ensure that a new employee file is created.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a billing assistant?

There are different types of costs for hiring billing assistants. One-time cost per hire for the recruitment process. Ongoing costs include employee salary, training, onboarding, benefits, insurance, and equipment. It is essential to consider all of these costs when evaluating hiring a new billing assistant employee.

Billing assistants earn a median yearly salary is $33,745 a year in the US. However, if you're looking to find billing assistants for hire on a contract or per-project basis, hourly rates typically range between $12 and $19.

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