How to hire a medical billing clerk

Medical billing clerk hiring summary. Here are some key points about hiring medical billing clerks in the United States:

HR departments typically spend 15% of their expenses on recruitment.
It usually takes about 12 weeks for a new employee to reach full productivity levels.
It typically takes 36-42 days to fill a job opening.
The median cost to hire a medical billing clerk is $1,633.
Small businesses spend an average of $1,105 per medical billing clerk on training each year, while large companies spend $658.
There are currently 355,835 medical billing clerks in the US and 164,870 job openings.
Mifflinburg, PA, has the highest demand for medical billing clerks, with 10 job openings.
New York, NY has the highest concentration of medical billing clerks.

How to hire a medical billing clerk, step by step

To hire a medical billing clerk, 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 medical billing clerk:

Here's a step-by-step medical billing clerk hiring guide:

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

What does a medical billing clerk do?

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. It is also their responsibility to assist patients by filling out forms, answering their inquiries, and referring them to other services. Moreover, a medical billing clerk must monitor patient accounts and follow-up on delinquent patient accounts, coordinating with collection agencies as needed.

Learn more about the specifics of what a medical billing clerk does

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Identify your hiring needs

Before you post your medical billing clerk 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 medical billing clerk 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?

You should also consider the ideal background you'd like them a medical billing clerk to have before you start to hire. For example, what industry or field would you like them to have experience in, what level of seniority or education does the job require, and how much it'll cost to hire a medical billing clerk that fits the bill.

This list shows salaries for various types of medical billing clerks.

Type of Medical Billing Clerk	Description	Hourly rate
Medical Billing Clerk	Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.	$12-19
Patient Access Representative	A Patient Access Representative is the first point of contact of a patient in a hospital facility. Among the duties include the checking-in and out of a patient, gathering a patient's information for the Doctors and Nurses to use, communicates with the patient's family or caregivers, and processes insurance billing... Show more	$12-19
Patient Representative	A patient representative is responsible for assisting the patients with their health care needs by identifying their medical concerns, assessing their medical history, and referring them to the appropriate physicians or other medical professionals for immediate treatments and further examinations. Patient representatives verify the patients' insurance information, guiding them on filling out medical forms, processing payments for medical services, and updating them for the release of medical results... Show more	$12-18

Create an ideal candidate profile
Common skills:
- Patients
- Medical Billing
- Healthcare
- Data Entry
- Customer Service
- Medicaid
- Patient Accounts
- Medical Claims
- EOB
- HIPAA
- Insurance Claims
- Appeals
- Insurance Carriers
- Insurance Coverage
Check all skills
Responsibilities:
- Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
- Interact with patients as part of the quality assurance process (follow-up, EHR confirmation, billing confirmation).
- Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assort issues with outstanding accounts.
- Utilize medical terminology and follow HIPAA guidelines.
- Bill Magellan through Nextgen system.
- Double checked CMS-1500 form before posting it out to the insurance companies.
More medical billing clerk duties

Make a budget

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

$16.14hourly

$33,566 yearly

Entry-level medical billing clerk salary

$27,000 yearly salary

Updated December 5, 2025

Average medical billing clerk salary by state

Rank	State	Avg. salary	Hourly rate
1	California	$37,985	$18
2	Massachusetts	$37,375	$18
3	Maryland	$37,367	$18
4	New Jersey	$37,060	$18
5	Michigan	$35,342	$17
6	Arizona	$35,242	$17
7	New York	$35,207	$17
8	Colorado	$33,783	$16
9	Ohio	$32,164	$15
10	Florida	$31,950	$15
11	Illinois	$31,786	$15
12	Georgia	$30,950	$15
13	North Carolina	$30,860	$15
14	Indiana	$30,398	$15
15	Texas	$29,701	$14
16	South Carolina	$29,010	$14
17	Louisiana	$28,331	$14
18	Tennessee	$28,152	$14

Average medical billing clerk salary by company

Rank	Company	Average salary	Hourly rate	Job openings
1	iCare	$38,154	$18.34
2	Volunteers of America Los Angeles	$37,917	$18.23	6
3	Dialysis Clinic	$37,768	$18.16	5
4	Monster Products	$36,595	$17.59	6
5	CCI Health & Wellness Services	$36,086	$17.35	4
6	Sparrow Health System	$34,837	$16.75	30
7	Dental365	$34,528	$16.60
8	Community Clinic	$34,500	$16.59	19
9	MTBC	$34,116	$16.40
10	MPI Home Care	$33,665	$16.19
11	Gold Cross Ambulance	$33,628	$16.17	1
12	Rotech Healthcare	$33,154	$15.94	4
13	Robert Half	$33,147	$15.94	690
14	Staff Icons	$33,132	$15.93
15	Area Temps	$32,896	$15.82	21
16	Kelly Services	$32,783	$15.76	48
17	Randstad North America, Inc.	$32,659	$15.70	29
18	ManpowerGroup	$32,464	$15.61	65
19	Ballad Health	$32,462	$15.61
20	R.M. Schulte & Associates	$31,732	$15.26

Writing a medical billing clerk job description
A good medical billing clerk 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 medical billing clerk job description:
Medical billing clerk job description example
We are a healthcare company that offers a positive work culture . We pay our Medical Billing Clerks a competitive wage of $27 - $30/hour . Our team also enjoys great benefits , including generous paid time off (PTO), health insurance, life insurance, and weekends and holidays off work . Plus, we make it easy to apply with our initial quick mobile-optimized application . If we have your attention, please continue reading!

A LITTLE ABOUT US

We are a medical center that provides an array of services. We are committed to high-quality and compassionate care delivered in a coordinated and patient-centered way. We are eager to assist our patients with any of their healthcare needs! Our medical team and staff are committed to providing a personalized, pleasant, and discreet experience.

We know that we would not be able to do this without our outstanding team. We recognize the hard work that our employees put in and offer competitive pay, excellent benefits, and an awesome work environment!

ARE YOU A GOOD FIT?

Ask yourself: Are you a self-starter? Can you work independently with little supervision? Do you have excellent organizational skills and an eye for detail? Are you reliable and efficient? If so, please consider applying for this accounts receivable position today!

YOUR LIFE AS A MEDICAL BILLING CLERK

This full-time accounts receivable position typically works Monday - Friday with a fairly flexible schedule . You can come in and leave a little earlier or later than the standard 8:00 am - 5:00 pm.

In this role, you have the important job of ensuring our patients' billing is processed promptly and accurately. You bill all of our specialty, CPT (current procedural terminology), and HIPPA codes. You also handle authorizations and appeals with various insurance companies.

Well-versed in specialty and sub-specialty billing, you always get the job done accurately and efficiently. Your attention to detail serves you well as you correct any errors you see. You love the autonomy of this job, and you feel great knowing that your efforts help keep our patients financially up-to-date!

WHAT WE NEED FROM YOU
- Experience with billing CPT codes and G codes
If you can meet these requirements and perform this accounts receivable job as described above, we would be happy to have you as part of our team!

Location: 34243

Job Posted by ApplicantPro
Post your job
To find medical billing clerks 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 medical billing clerks they would recommend.
- Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level medical billing clerks 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.
To find medical billing clerk candidates, you can consider the following options:
- Post your job opening on Zippia or other job search websites.
- Use niche websites that focus on engineering and technology jobs, such as efinancialcareers, financialjobsweb.com, careerbank, financial job bank.
- Post your job on free job posting websites.
Interview candidates
Your first interview with medical billing clerk candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.
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.
Send a job offer and onboard your new medical billing clerk
Once you've decided on a perfect medical billing clerk 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.
Once that's done, you can draft an onboarding schedule for the new medical billing clerk. 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.
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 medical billing clerk?

Recruiting medical billing clerks involves both the one-time costs of hiring and the ongoing costs of adding a new employee to your team. Your spending during the hiring process will mostly be on things like promoting the job on job boards, reviewing and interviewing candidates, and onboarding the new hire. Ongoing costs will obviously involve the employee's salary, but also may include things like benefits.

You can expect to pay around $33,566 per year for a medical billing clerk, 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 medical billing clerks in the US typically range between $12 and $19 an hour.

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Updated December 5, 2025

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How to hire a medical billing clerk