How to hire a billing representative

How to hire a billing representative, step by step

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

What does a billing representative do?

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1. Identify your hiring needs

   Before you start hiring a billing representative, 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?

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   Hiring the perfect billing representative 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 presents billing representative salaries for various positions.

   Type of Billing Representative	Description	Hourly rate
   Billing Representative	Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.	$13-20
   Medical Billing Clerk	A medical billing clerk is primarily in charge of processing payments and creating billing arrangements in clinics and hospitals. Among their responsibilities include gathering and verifying patient identification, handling insurance information, coding, updating databases, and maintaining records... Show more	$12-19
   Billing Analyst	A billing analyst is responsible for supporting the operations of an accounting department, evaluating and issuing invoices, and analyzing the financial transactions of the company. Billing analysts assist with creating financial statements and reports, managing billing discrepancies, updating recent account statements on the company's database, and checking the accuracy of balance sheets... Show more	$16-35

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Patients
   • Customer Service
   • Data Entry
   • Medical Billing
   • Medicaid
   • Patient Accounts
   • Medical Terminology
   • CPT
   • Appeals
   • Medical Claims
   • HIPAA
   • Billing System
   • EOB
   • ICD-10

   Check all skills

   Responsibilities:

   • Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
   • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
   • Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
   • Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
   • Submit and receive Medicare and Medicaid claims electronically on a daily basis.
   • Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.

   More billing representative duties

3. Make a budget

   Including a salary range in your billing representative job description helps attract top candidates to the position. A billing representative salary can be affected by several factors, such as geography, experience, seniority, certifications, and the prestige of the hiring company.

   For example, the average salary for a billing representative in Maine may be lower than in Massachusetts, and an entry-level billing representative usually earns less than a senior-level billing representative. Additionally, a billing representative with certifications may command a higher salary, and working for a well-known company or start-up may also impact an employee's pay.

   Average billing representative salary

   $35,002yearly

   $16.83 hourly rate

   ---

   Entry-level billing representative salary

   $28,000 yearly salary

   Updated December 20, 2025

   Average billing representative salary by state

   Rank	State	Avg. salary	Hourly rate
   1	Massachusetts	$41,934	$20
   2	Washington	$39,382	$19
   3	California	$39,323	$19
   4	Oregon	$38,244	$18
   5	Illinois	$37,803	$18
   6	New York	$36,701	$18
   7	Colorado	$35,897	$17
   8	Maryland	$35,781	$17
   9	Minnesota	$35,286	$17
   10	Kansas	$34,850	$17
   11	Connecticut	$34,467	$17
   12	Arizona	$34,364	$17
   13	Pennsylvania	$34,221	$16
   14	Delaware	$34,211	$16
   15	Utah	$34,176	$16
   16	North Carolina	$34,158	$16
   17	Wisconsin	$34,042	$16
   18	Texas	$33,840	$16
   19	Nevada	$33,805	$16
   20	Michigan	$33,615	$16

   Average billing representative salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	Relevante	$41,445	$19.93
   2	University of Nebraska System	$41,023	$19.72
   3	Student Conservation Association	$40,265	$19.36
   4	Kent Daniels & Associates	$40,141	$19.30	10
   5	Dana-Farber Cancer Institute	$40,015	$19.24	6
   6	Philips	$39,312	$18.90
   7	Guidehouse	$38,972	$18.74	94
   8	Alignment Healthcare	$38,402	$18.46	7
   9	Philadelphia Insurance Companies	$38,365	$18.44
   10	Sutter Health	$38,091	$18.31	42
   11	Concentra	$37,670	$18.11	3
   12	ARUP Laboratories	$37,659	$18.11	7
   13	JBS USA	$37,562	$18.06	1
   14	Mayo Clinic	$37,436	$18.00	32
   15	KPS Global	$37,358	$17.96	1
   16	University of Michigan	$37,143	$17.86	2
   17	RGA Environmental, A Terracon Company	$37,083	$17.83	2
   18	Verisk Analytics	$36,940	$17.76	2
   19	Mid Atlantic Retina	$36,836	$17.71
   20	PacificSource Health Plans	$36,689	$17.64	4

4. Writing a billing representative job description

   A billing representative 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. To help get you started, here's an example of a billing representative job description:

   Billing representative job description example

   NATIONAL LEADERS IN PEDIATRIC CARE
   Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California.
   
   Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
   
   The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
   
   Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
   
   It's Work That Matters.
   
   Overview
   
   The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Responds to inquiries and resolves problems regarding billing and collection matters.
   
   Qualifications: Two years medical billing/collections in a health care environment. Familiar with electronic billing and managed care contract interpretation.
   
   Knowledge of inpatient and outpatient Medi-Cal, CCS, commercial insurance and other government agency payers.
   
   Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career!
   
   CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
   
   At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. Your race and ethnicity, religion, age, gender, sexual orientation and ability make you uniquely you - and that is just who we are looking for! So, bring the best of yourself and contribute to our mission in your own unique way.
   
   Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients. As an equal opportunity employer, we celebrate the differences of our team members.

   Copy this example

   

5. Post your job

   To find billing representatives 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 representatives they would recommend.
   • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level billing representatives 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 representative job on Zippia to find and recruit billing representative candidates who meet your exact specifications.
   • Use field-specific 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 representatives, 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 representative

   Once you've selected the best billing representative 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.

   Once that's done, you can draft an onboarding schedule for the new billing representative. Human Resources should complete Employee Action Forms and ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc. They should also ensure that new employee files are created for internal recordkeeping.

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 representative?