Medical Billing Specialist

Medical billing specialists prepare and submit healthcare claims to insurance payers, follow up on unpaid claims, and post payments once they're received. The role covers the full billing cycle: verifying patient insurance, entering charges accurately, submitting clean claims, and resolving rejections or denials before they become a bigger revenue problem.

This is one of the highest-volume roles in medical revenue cycle work, and it's often an entry point into the field for candidates without a coding certification. Employers include physician practices, hospital billing departments, revenue cycle outsourcing companies, and billing software vendors that staff their own client support teams.

Remote medical billing specialist pay on this board typically runs $17 to $25 an hour, with senior roles requiring coding certifications like CPC or CCS-P reaching into the $30s. Our medical biller salary guide covers pay by experience level.

Common Medical Billing Specialist Requirements

Medical billing or healthcare revenue cycle experience
Working knowledge of CPT, ICD-10-CM, and HCPCS coding
Insurance claims and denial management experience
Familiarity with a billing platform such as Athenahealth, Epic, eClinicalWorks, or Kareo/Tebra
Understanding of Medicare, Medicaid, and commercial insurance requirements
Experience with accounts receivable or payment posting
Some roles specialize in a single specialty, such as behavioral health, dental, or oncology billing