How to hire a medicare billing specialist

How to hire a medicare billing specialist, step by step

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

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1. Identify your hiring needs

   The medicare billing specialist hiring process starts by determining what type of worker you actually need. Certain roles might require a full-time employee, whereas part-time workers or contractors can do others.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   You should also consider the ideal background you'd like them a medicare billing specialist 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 medicare billing specialist that fits the bill.

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

   Type of Medicare Billing Specialist	Description	Hourly rate
   Medicare Billing Specialist	Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.	$14-21
   Account Representative	Account representatives are employees who manage client accounts and act as the main contact of the clients they are handling. They maintain existing accounts by updating client details regularly... Show more	$12-24
   Insurance Clerk	An insurance clerk usually works to process insurance, reinstatement, changes, or cancellations for a company or an individual account. They are responsible for monitoring, processing, and organizing different insurance claims for a client... Show more	$12-18

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Patients
   • Patient Accounts
   • Data Entry
   • Medicare
   • Medicaid
   • CPT
   • Appeals
   • Medical Terminology
   • Home Health
   • HCPCS
   • CMS
   • Billing System
   • Insurance Billing
   • Insurance Claims

   Check all skills

   Responsibilities:

   • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
   • Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
   • Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
   • Call Medicare to re-open claims due to date, CPT, units, or other changes.
   • Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
   • Comply with all HIPPA laws.

3. Make a budget

   Including a salary range in your medicare billing specialist job description is a great way to entice the best and brightest candidates. A medicare billing specialist salary can vary based on several factors:

   • Location. For example, medicare billing specialists' average salary in new mexico is 38% less than in district of columbia.
   • Seniority. Entry-level medicare billing specialists earn 32% less than senior-level medicare billing specialists.
   • Certifications. A medicare billing specialist 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 medicare billing specialist's salary.

   Average medicare billing specialist salary

   $36,773yearly

   $17.68 hourly rate

   ---

   Entry-level medicare billing specialist salary

   $30,000 yearly salary

   Updated January 12, 2026

4. Writing a medicare billing specialist job description

   A medicare billing specialist 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 medicare billing specialist job description:

   Medicare billing specialist job description example

   About Christian Health:
   We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.
   
   Why Join Our Team:
   Across our three campuses, ten communities, three service offerings, and hospital, we are ultimately one unified team. Together, we nurture a compassionate, collaborative culture that enables continuous improvement and allows our team members to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference - come join us!
   
   We have an exciting opportunity for a full-time, Billing Specialist/Medicare Biller to join our Finance department. The Billing Specialist/Medicare Biller will be responsible for preparing and submitting claims for all Part A and Part B patients in the Nursing Home and Part B patients in all other billing areas which includes Physical, Occupational and Speech Therapy billing. The Billing Specialist will also be responsible for co-insurance billing for Part A and Part B, account follow-up and various other types of billing and reporting. Demonstrates an understanding of, and embraces, the mission statement of Christian Health.
   
   Schedule: Monday - Friday, 8:00am-4:00pm or 8:30am-4:30pm (Hours are flexible)
   
   Education: High School diploma required
   
   Christian Health offers a wide variety of benefits to full-time employees that includes Health Insurance, a Dental Program, Paid Vacation and Holidays, 401k, Life Insurance, Tuition Reimbursement, Employee Assistance Program and Direct Deposit.
   
   QUALIFICATIONS/REQUIREMENTS:
   
   Qualifications:
   
   One year of billing and Long Term Care Medicare billing is required.
   Hospital billing experience will be considered.
   Must be comfortable with insurance follow up including review of rejections, denials and appeal submission.
   Must possess excellent customer service skills.
   Strong attention to detail and ability to multi-task.
   Must have strong communication and organizational skills.
   Proficient computer skills in MS Office suite to input data.
   
   If you are interested in this great opportunity, please apply today on our website listed below.

   Copy this example

   

5. Post your job

   To find medicare billing specialists 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 medicare billing specialists they would recommend.
   • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level medicare billing specialists 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 medicare billing specialist job on Zippia to find and recruit medicare billing specialist 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 medicare 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.

   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 medicare billing specialist

   Once you've found the medicare billing specialist candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.

   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.

   To prepare for the new medicare billing specialist first day, you should share an onboarding schedule with them that covers their first period on the job. You should also quickly complete any necessary paperwork, such as employee action forms and onboarding documents like I-9, benefits enrollment, and federal and state tax forms. Finally, Human Resources must ensure a new employee file is created for internal record keeping.

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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