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How to hire a billing manager

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

  • The median cost to hire a billing manager is $1,633.
  • It takes between 36 and 42 days to fill the average role in the US.
  • HR departments typically allocate 15% of their budget towards recruitment efforts.
  • Small businesses spend $1,105 per billing manager on training each year, while large companies spend $658.
  • It takes approximately 12 weeks for a new employee to reach full productivity levels.
  • There are a total of 33,511 billing managers in the US, and there are currently 38,709 job openings in this field.
  • New York, NY, has the highest demand for billing managers, with 16 job openings.

How to hire a billing manager, step by step

To hire a billing manager, 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 manager:

Here's a step-by-step billing manager 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 manager job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new billing manager
  • Step 8: Go through the hiring process checklist

What does a billing manager do?

A billing manager is in charge of overseeing the systems and processes concerned with billing in a company. One of their primary duties is to handle the receivable accounts to ensure smooth cash flow, assess the validity of bills, provide corrective measures when necessary, supervise the workforce's performance, and solve issues raised by staff. As a billing manager, it is essential to implement all policies and regulations while leading and encouraging the team in their joint effort to reach targets and deadlines.

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

    Before you start hiring a billing manager, identify what type of worker you actually need. Certain positions might call for a full-time employee, while others can be done by a part-time worker or contractor.

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

    A billing manager's background is also an important factor in determining whether they'll be a good fit for the position. For example, billing managers from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

    This list shows salaries for various types of billing managers.

    Type of Billing ManagerDescriptionHourly rate
    Billing ManagerA Billing Manager is responsible for leading and planning the billing operations of a department. They also train new employees on standard company policies and procedures regarding the billing process.$25-54
    Medical Billing, ReceptionistA medical billing receptionist serves as the main point of contact in a hospital. Their responsibilities revolve around greeting patients and attending to their needs, gathering and maintaining records, and checking-in patients... Show more$13-19
    Customer Experience ManagerA customer experience manager (CEM) links the gap between the brand they work for and the customer. It is their job to ensure that customer experience is engaging, efficient, and effective... Show more$19-65
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Customer Service
    • Billing Procedures
    • Revenue Cycle
    • Financial Reports
    • Medicaid
    • Mediation
    • CPT
    • Medical Claims
    • Billing Process
    • Billing System
    • Medical Billing
    • Billing Issues
    • Accounts Receivables
    Check all skills
    Responsibilities:
    • Manage, extract, and process EHRs by request.
    • Manage the clinical staff payroll, the coding, authorization, and the billing of PDN, HHA and DME claims.
    • Manage point-of-service collection functions to improve customer service and increase revenue for clinic and surgery centers.
    • Manage preparation and maintain analysis by divisions to include CPT fees, Medicare reimbursement and contract reimbursements.
    • Credential providers with Medicare, Medicaid and commercial carriers.
    • Approve and post all A/R adjustments via PeopleSoft.
    More billing manager duties
  3. Make a budget

    Including a salary range in your billing manager job description is a great way to entice the best and brightest candidates. A billing manager salary can vary based on several factors:
    • Location. For example, billing managers' average salary in mississippi is 46% less than in new jersey.
    • Seniority. Entry-level billing managers earn 54% less than senior-level billing managers.
    • Certifications. A billing manager with a few certifications under their belt will likely demand a higher salary.
    • Company. Working for a prestigious company or an exciting start-up can make a huge difference in a billing manager's salary.

    Average billing manager salary

    $77,507yearly

    $37.26 hourly rate

    Entry-level billing manager salary
    $52,000 yearly salary
    Updated December 23, 2025

    Average billing manager salary by state

    RankStateAvg. salaryHourly rate
    1California$102,175$49
    2New Jersey$99,782$48
    3Washington$93,876$45
    4Virginia$84,702$41
    5North Carolina$83,346$40
    6Illinois$81,324$39
    7New York$80,837$39
    8Delaware$79,255$38
    9Connecticut$78,662$38
    10Michigan$78,165$38
    11Nevada$76,353$37
    12Missouri$75,940$37
    13Massachusetts$75,718$36
    14Pennsylvania$74,347$36
    15Wisconsin$71,426$34
    16Colorado$70,668$34
    17Minnesota$70,159$34
    18Arizona$68,105$33
    19Louisiana$66,749$32
    20Florida$66,579$32

    Average billing manager salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1Google$120,050$57.725
    2Parsons$119,491$57.454
    3Comverse Technology$105,050$50.50
    4Signature Technicair$104,387$50.19
    5Amazon$99,853$48.0143
    6Zoom Video Communications$99,489$47.83
    7Citi$98,299$47.262
    8KORE$97,076$46.67
    9Lewis Brisbois Bisgaard & Smith$96,767$46.523
    10Kent Daniels & Associates$94,704$45.5310
    11Fiserv$94,446$45.41
    12Richards Kibbe & Orbe$90,546$43.531
    13Chubb$88,593$42.595
    14Consonus Healthcare$87,431$42.03
    15iCare$87,319$41.98
    16Republic Services$84,227$40.492
    17East Liberty Family Health Care Center$82,717$39.77
    18IDT$82,375$39.60
    19TeleTracking$82,012$39.43
    20Yuma Regional Medical Center$78,548$37.76
  4. Writing a billing manager job description

    A billing manager job description should include a summary of the role, required skills, and a list of responsibilities. It's also good to include a salary range and the first name of the hiring manager. Below, you can find an example of a billing manager job description:

    Billing manager job description example

    The Manager, Patient Billing will manage the governmental payer collection and billing functions for patient accounts. Recommends improvements, reduces denials, and facilitates processing and patient accounting operations. Assures claims are submitted to payers for all hospital and related clinics. Oversees the 835 and 837 files received from Payers along with cash management functions. Ensures compliance guidelines are monitored and implemented where appropriate.

    The Manager, Patient Billing will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

    The Manager, Patient Billing will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.
    Principal Responsibilities
    The Manager, Patient Billing: Manages activities related to the billing of accounts to payers. Develops, recommends and administers policies and procedures for areas of responsibility. Participates in the development of policies and procedures for other Institute areas, which may impact patient accounts. Ensures compliance with Payer requirements including governmental regulations for billing, and recommends procedures related to system and revenue cycle operations. Monitors 835 and 837 electronic transactions for Payers and ensures SRAlab is compliant with standards. Provides support to key operational personnel on implementing new billing requirements by Payers. Monitors governmental payer rejections or denials and reports to the Executive Director of the Revenue Cycle any patterns or trends. Interviews, hires, trains, schedules, and evaluates the performance of subordinate personnel. Monitors and reports productivity of staff for billing to payers and the collection of governmental payers. Works with third party payers to resolve billing issues, remaining cognizant of billing policies in order to expedite payment processing and to ensure internal compliance with changes. Manages the cash applications and cash reconciliation process, working with SRAlab banks and personnel. Prepares or directs preparation of financial reports of the organization's accounts receivables, presenting trends, movements and status to management. Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab. Reporting Relationships
    Reports directly to the Executive Director, Revenue Cycle
    Knowledge, Skills & Abilities Required
    Knowledge of Medicare and Medicaid billing practices, computer systems, basic finance and statistical analysis as normally acquired through progressively responsible work experience. Bachelor's degree in, Business, or another closely related field preferred Minimum 5 years of experience, with at least three years in a supervisory role, necessary to gain full understanding of credit and collection functions, financial analysis and third party payer procedures. Knowledge of Medical Necessity policies for all governmental payers including LCD and NCD. Interpersonal skills necessary to effectively discuss financial problems and arrangements with various Institutes and outside agency personnel. Analytical skills necessary to examine patient accounts detect and resolve problems relating to accounts receivable and prepare and administer policies, procedures and budgets. Working Conditions
    Normal office environment with little or no exposure to dust or extreme temperature.
    The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

    SRAlab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
  5. Post your job

    To find the right billing manager for your business, consider trying out a few different recruiting strategies:

    • Consider internal talent. One of the most important sources of talent for any company is its existing workforce.
    • Ask for referrals. Reach out to friends, family members, and current employees and ask if they know or have worked with billing managers they would recommend.
    • Recruit at local colleges. Attend job fairs at local colleges to recruit billing managers who meet your education requirements.
    • Social media platforms. LinkedIn, Facebook and Twitter now have more than 3.5 billion users, and you can use social media to reach potential job candidates.
    Post your job online:
    • Post your billing manager job on Zippia to find and recruit billing manager candidates who meet your exact specifications.
    • Use field-specific websites.
    • Post a job on free websites.
  6. Interview candidates

    During your first interview to recruit billing managers, 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.

    It's also good to ask about candidates' unique skills and talents. You can move on to the technical interview if a candidate is good enough for the next step.

    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 manager

    Once you've selected the best billing manager candidate for the job, it's time to write an offer letter. In addition to salary, this letter should include details about the benefits and perks you offer the candidate. Ensuring that your offer is competitive is essential, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and you should be open to discussion. After you reach an agreement, the final step is formalizing the 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.

    After that, you can create an onboarding schedule for a new billing manager. Human Resources and the hiring manager should complete Employee Action Forms. Human Resources should also ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc., and that new employee files are 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 manager?

There are different types of costs for hiring billing managers. 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 manager employee.

You can expect to pay around $77,507 per year for a billing manager, as this is the median yearly salary nationally. This can vary depending on what state or city you're hiring in. If you're hiring for contract work or on a per-project basis, hourly rates for billing managers in the US typically range between $25 and $54 an hour.

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