How to hire a senior billing specialist

How to hire a senior billing specialist, step by step

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

What does a senior billing specialist do?

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1. Identify your hiring needs

   Before you start hiring a senior billing specialist, 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?

   Yes

   No

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

   This list presents senior billing specialist salaries for various positions.

   Type of Senior Billing Specialist	Description	Hourly rate
   Senior Billing Specialist	Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.	$17-35
   Biller	Billers 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
   Collections Coordinator	Usually working alongside a company's account receivables team, a collections coordinator is in charge of developing strategies to optimize the payment collection operations. Among their responsibilities include reaching out to clients through calls or correspondence to remind them of their payment obligations, arranging appointments, processing payments, arranging payment terms, and researching a client's communication information such as cellphone number, address, or email... Show more	$14-22

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Patients
   • CPT
   • Billing Issues
   • Billing System
   • Data Entry
   • Billing Process
   • Medical Billing
   • Customer Service
   • Medicaid
   • Patient Accounts
   • Financial Reports
   • Appeals
   • HIPAA
   • Medical Claims

   Check all skills

   Responsibilities:

   • Manage temporary and internship staff on Medicaid posting project.
   • Revamp updating process for ICD-9 codes to ensure that federal/state changes.
   • Code all claims interpret in EOMB's from Medicare & EOB from insurance companies.
   • Resolve incorrect insurance payments, EOB denials, and any issues with outstanding accounts.
   • Review outpatient medical records for abstraction of billable physician services and conversion of those services into CPT codes.
   • Process claims reviewing ICD9-10 and CPT codes on to ensure correct submission on HCFA and UB92 claim forms.

   More senior billing specialist duties

3. Make a budget

   Including a salary range in your senior billing specialist job description is one of the best ways to attract top talent. A senior billing specialist can vary based on:

   • Location. For example, senior billing specialists' average salary in arkansas is 49% less than in district of columbia.
   • Seniority. Entry-level senior billing specialists 51% less than senior-level senior billing specialists.
   • Certifications. A senior billing specialist with certifications usually earns a higher salary.
   • Company. Working for an established firm or a new start-up company can make a big difference in a senior billing specialist's salary.

   Average senior billing specialist salary

   $52,255yearly

   $25.12 hourly rate

   ---

   Entry-level senior billing specialist salary

   $36,000 yearly salary

   Updated January 23, 2026

   Average senior billing specialist salary by state

   Rank	State	Avg. salary	Hourly rate
   1	District of Columbia	$79,670	$38
   2	Maryland	$68,776	$33
   3	New York	$64,350	$31
   4	California	$62,837	$30
   5	Massachusetts	$59,654	$29
   6	Washington	$58,783	$28
   7	Virginia	$55,632	$27
   8	Rhode Island	$55,331	$27
   9	Texas	$55,104	$26
   10	Ohio	$55,022	$26
   11	Pennsylvania	$54,830	$26
   12	Illinois	$54,231	$26
   13	Arizona	$53,584	$26
   14	Oregon	$48,466	$23
   15	Florida	$47,923	$23
   16	Colorado	$47,356	$23
   17	South Carolina	$46,591	$22
   18	Missouri	$44,738	$22
   19	Utah	$43,800	$21
   20	Nebraska	$43,745	$21

   Average senior billing specialist salary by company

   Company

   Rank	Company	Average salary	Hourly rate	Job openings
   1	Five9	$113,199	$54.42
   2	Parsons	$101,375	$48.74
   3	Proofpoint	$93,127	$44.77
   4	Paul, Weiss, Rifkind, Wharton & Garrison	$89,906	$43.22	6
   5	NRG Energy	$80,419	$38.66
   6	Therapy Resources Management	$80,345	$38.63
   7	Holland & Knight	$76,941	$36.99	3
   8	DaVita Kidney Care	$61,622	$29.63	2
   9	Miriam Hospital	$60,760	$29.21
   10	Akin Gump Strauss Hauer & Feld	$60,328	$29.00	1
   11	THERAPY SOLUTIONS	$59,466	$28.59
   12	LogixHealth	$57,944	$27.86
   13	TASER Self-Defense	$56,511	$27.17
   14	VSE	$55,814	$26.83
   15	Cumming Corporation	$54,959	$26.42
   16	JGB Enterprises, Inc	$54,440	$26.17
   17	Milbank Tweed Hadley & Mc Cloy	$54,191	$26.05
   18	Mount Sinai Health System	$53,526	$25.73	8
   19	Centene	$53,269	$25.61
   20	Bureau Veritas	$52,655	$25.31

4. Writing a senior billing specialist job description

   A job description for a senior billing specialist role includes a summary of the job's main responsibilities, required skills, and preferred background experience. Including a salary range can also go a long way in attracting more candidates to apply, and showing the first name of the hiring manager can also make applicants more comfortable. As an example, here's a senior billing specialist job description:

   Senior billing specialist job description example

   Primary responsibilities for this position include obtaining insurance verification and authorization for E&M visits and treatments as required by third party insurance carriers, companies and plans. Senior Biller will play a significant role in the accurate submission of claims so that payment is received in a timely manner with skills necessary to improve current billing procedures and reduce A/R days. Therefore, a solid working knowledge of ICD10 CM, CPT and HCPCS codes is essential as is the submission and appeal process for healthcare related insurance claims. Knowledge, skills & abilities to analyze data, perform in-depth evaluation and exercising judgment within the appropriate working knowledge of oncology billing and revenue cycle process, is preferred.
   Obtaining and verifying authorizations as required by insurance companies and plans
   by contacting the patient, when applicable, and coordinating with the financial clearance
   
   center, when appropriate.
   
   Daily entry & export of professional and/or facility charges in EHR databases Epic, Mosaiq and monitoring of associated work queues to facilitate charges from entry to payment.
   
   Works with central billing office in resolving and resubmitting denied claims. Analyzes accounts within assigned work queues logistical and /or clerical problem resolution related to the patients' medical record, authorization and billing issues.
   
   Keeps abreast of changes in authorization process, insurance policies, billing requirements,
   rejection or denial codes as they pertain to claim processing and coding.
   
   Assists patients with questions or concerns regarding their account. Works collaboratively with manager in analysis of billing data to improve current billing procedures and reduce A/R days. Mentors and/or assists with training of newly hired authorization and/or billing staff.
   
   STANDARD QUALIFICATIONS
   
   Associates degree required or Bachelor degree in business or related field preferred. 2+ years' experience working in healthcare billing and/or coding preferred with good working knowledge of ICD10-CM, CPT and HCPCs coding. Experience coding and/or billing in radiation oncology or comparable preferred. Coding Certification from a professional organization or accredited institution required.
   
   Other Qualifications: Comprehensive working knowledge of third party insurance process required. Attention to detail and ability to multi-task and meet tight deadlines. Excellent problem-solving skills.
   
   * Beaumont Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

   Copy this example

   

5. Post your job

   There are a few common ways to find senior 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 senior billing specialist job on Zippia to find and recruit senior 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

   Your first interview with senior billing specialist 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.

7. Send a job offer and onboard your new senior billing specialist

   Once you have selected a candidate for the senior billing specialist position, it is time to create an offer letter. In addition to salary, the offer letter should include details about benefits and perks that are available to the employee. Ensuring your offer is competitive is vital, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and it is important to be open to discussion and reach a mutually beneficial agreement. After the offer has been accepted, it is a good idea to formalize the agreement with a contract.

   It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

   After that, you can create an onboarding schedule for a new senior billing specialist. 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 senior billing specialist?