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How to hire a billing specialist

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

  • The median cost to hire a billing specialist 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 specialist 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 525,217 billing specialists in the US, and there are currently 55,205 job openings in this field.
  • New York, NY, has the highest demand for billing specialists, with 76 job openings.

How to hire a billing specialist, step by step

To hire a billing specialist, you need to identify the specific skills and experience you want in a candidate, allocate a budget for the position, and advertise the job opening to attract potential candidates. To hire a billing specialist, you should follow these steps:

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

What does a billing specialist do?

Billing specialists are accounting or finance employees who are responsible for sending out billing invoices to clients. They calculate charges that their clients have incurred. They then write bills, ensure that all details are correct, and send these out to clients. They also manage payment due dates and ensure that clients are duly reminded of such deadlines. Billing specialists also manage client accounts and ensure that they are paying on time. They help identify clients who have outstanding payables and send out collection notices to them. At times, billing specialists also manage the receipt of payments to manage account records better.

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

    First, determine the employments status of the billing specialist you need to hire. Certain billing specialist roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

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

    A billing specialist's background is also an important factor in determining whether they'll be a good fit for the position. For example, billing specialists 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.

    Here's a comparison of billing specialist salaries for various roles:

    Type of Billing SpecialistDescriptionHourly rate
    Billing SpecialistFinancial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.$12-21
    BillerBillers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services... Show more$13-23
    Medical Billing ClerkA 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
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Customer Service
    • Data Entry
    • Medical Billing
    • Medicaid
    • CPT
    • Patient Accounts
    • Submit Claims
    • Medical Terminology
    • Billing Issues
    • Medical Claims
    • Appeals
    • HIPAA
    • Insurance Claims
    Check all skills
    Responsibilities:
    • Use of QuickBooks to manage vendors' accounts, set up filing system to maintain files and supporting billing documents.
    • Manage the daily correspondence with keeping doctor/patient confidentiality under consideration along with HIPPA regulations.
    • Use independent judgment, manage and impart confidential information appropriately per HIPAA regulations and company requirements.
    • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
    • Provide additional information/clarification for insurance claims using knowledge of CPT, ICD-9, and HCPCS codes, as well as modifiers.
    • Assist staff with proper billing for patients, ensure proper coding using ICD-10, ICD-9 and CPT-4 coding.
    More billing specialist duties
  3. Make a budget

    Including a salary range in your billing specialist job description helps attract top candidates to the position. A billing specialist 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 specialist in South Carolina may be lower than in Delaware, and an entry-level billing specialist usually earns less than a senior-level billing specialist. Additionally, a billing specialist 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 specialist salary

    $35,624yearly

    $17.13 hourly rate

    Entry-level billing specialist salary
    $27,000 yearly salary
    Updated January 11, 2026

    Average billing specialist salary by state

    RankStateAvg. salaryHourly rate
    1District of Columbia$55,412$27
    2Massachusetts$43,201$21
    3New Jersey$41,160$20
    4New York$40,810$20
    5Washington$39,507$19
    6Oregon$38,877$19
    7Maryland$38,855$19
    8Minnesota$38,753$19
    9California$38,078$18
    10Colorado$36,719$18
    11Illinois$36,278$17
    12Pennsylvania$35,989$17
    13Virginia$35,519$17
    14Maine$35,504$17
    15Michigan$34,854$17
    16Nebraska$33,867$16
    17Arizona$33,493$16
    18Utah$33,229$16
    19Texas$33,073$16
    20Missouri$32,725$16

    Average billing specialist salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1TIBCO Software$72,743$34.97
    2Capgemini$61,303$29.476
    3Deloitte$57,008$27.41270
    4Infosys Public Service$56,785$27.308
    5Wpp Us Holdings Inc$52,325$25.16
    6Tesoro$51,029$24.53
    7CBIZ$50,934$24.493
    8Armanino$48,589$23.36
    9Relevante$48,214$23.18
    10Kent Daniels & Associates$46,710$22.4610
    11Perkins Coie$46,675$22.442
    12ARA$46,520$22.37
    13National Grid plc$46,272$22.25
    14Nebraska Public Power District$45,596$21.92
    15Crowe$45,347$21.80
    16ORBCOMM$44,425$21.36
    17Baker Hughes$44,253$21.284
    18Dana-Farber Cancer Institute$43,652$20.992
    19Virginia Eye Institute$43,471$20.90
    20United Natural Foods$43,140$20.742
  4. Writing a billing specialist job description

    A good billing specialist 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 specialist job description:

    Billing specialist job description example

    Job DescriptionResponsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Record all contracting information regarding billing and adheres to Sarbanes Oxley Policies for Employer Solutions.

    Ensures Billing System is updated timely, appropriately and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients including all new business. Ensures timely deliver of billing cycled invoices to Clients.

    Prepares fee for service spreadsheet for billing and includes the individual billing to all customers.

    Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff.

    Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing. Communicates with Account Executives to ensure that Client data is gathered in a timely manner.

    Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions.
    Follows through on additional requests/projects as requested by Management. Other Job Requirements Responsibilities 1+ Years Accounts Receivable experience including Billing, Reconciliations, and Collections.
    Intermediate level MS Excel, Ten-Key by touch, must be detail oriented, decipher contract language, and compute billing adjustments manually. General Job Information Title Billing Specialist Grade 17 Work Experience - Required Finance Work Experience - Preferred Education - Required GED, High School Education - Preferred Associates License and Certifications - Required License and Certifications - Preferred Salary Range Salary Minimum: $31,175 Salary Maximum: $46,765 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
    Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
  5. Post your job

    There are a few common ways to find billing specialists for your business:

    • Promoting internally or recruiting from your existing workforce.
    • Ask for referrals from friends, family members, and current employees.
    • Attend job fairs at local colleges to meet candidates with the right educational background.
    • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.
    Post your job online:
    • Post your billing specialist job on Zippia to find and recruit billing specialist 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 specialists, 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.

    You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete 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 specialist

    Once you've selected the best billing specialist 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.

    It's also good etiquette to follow up with applicants who don't get the job by sending them an email letting them know that the position has been filled.

    Once that's done, you can draft an onboarding schedule for the new billing specialist. 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 specialist?

Before you start to hire billing specialists, it pays to consider both the one-off costs like recruitment, job promotion, and onboarding, as well as the ongoing costs of an employee's salary and benefits. While most companies that hire billing specialists pay close attention to the initial cost of hiring, ongoing costs are much more significant in the long run.

The median annual salary for billing specialists is $35,624 in the US. However, the cost of billing specialist hiring can vary a lot depending on location. Additionally, hiring a billing specialist for contract work or on a per-project basis typically costs between $12 and $21 an hour.

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