Medical Billing Specialist Hourly Pay & Requirements (2026)
Advertised pay, starting pay, skills and experience from 2,516 US job postings by 1,273 employers. Data as of October 2026.
What US employers post for medical billing specialists: advertised pay, the skills and experience they ask for, and the job titles they use, from 2,516 open job postings (October 2026).
- The median advertised pay for medical billing specialists in US job postings is $22.50 an hour (465 postings from 258 employers, October 2026).
- The middle half of those postings offer $20.00 to $25.00 an hour.
- The skills that most set medical billing specialist postings apart are cpt, medical billing, medicaid.
- Postings that state a minimum ask for a median of 2 years of experience.
Medical Billing Specialist job postings in the US, October 2026
- $22.50/hr
- Median advertised pay (465 postings)
- $20.00–$25.00
- Middle 50% of postings
- 2,516
- US job postings from 1,273 employers
- 2 years
- Median experience asked
How much does a medical billing specialist make an hour?
The median advertised pay is $22.50 an hour, from 465 US job postings by 258 employers that state pay. That is about $50,000 a year at 2,080 hours.
Advertised pay in 465 US medical billing specialist job postings: median $50,000 a year ($22.50 an hour), middle half $44,000 to $61,000.
- Median: $50,000 ($22.50/hr)
- 25th percentile: $44,000
- 75th percentile: $61,000
The figures as a table
| Annual pay | Share of postings |
|---|---|
| $20K–$30K | 1.9% |
| $30K–$40K | 14.6% |
| $40K–$50K | 35.9% |
| $50K–$60K | 21.1% |
| $60K–$70K | 10.3% |
| $70K–$80K | 1.9% |
| $80K–$90K | 3.0% |
| $90K–$100K | 3.2% |
| $100K–$110K | 1.7% |
| $110K–$120K | 1.7% |
| $120K–$130K | 2.4% |
| $130K–$140K | 0.7% |
| $140K–$150K | 0.9% |
Midpoint of each posting's pay range, hourly pay × 2,080 hours; at most 20 postings per employer; US, October 2026.
| Median | Middle 50% | Postings | |
|---|---|---|---|
| Postings that state an hourly rate | $22.50 | $20.00–$25.00 | 345 |
| All pay postings, annualised | $50,000 | $44K–$61K | 465 |
What is the starting salary for a medical billing specialist?
Figure withheld: fewer than 250 US postings list pay. How we decide.
Skills employers ask for in medical billing specialist job postings
| Skill | Share of postings |
|---|---|
| Communication | 38% |
| Attention to detail | 28% |
| Excel | 25% |
| Organizational skills | 24% |
| Customer service | 19% |
| Problem-solving | 18% |
| Work independently | 15% |
| Analytical skills | 15% |
| Microsoft Office | 13% |
| Word | 13% |
Skills named in the posting text; at most 20 postings per employer; US, October 2026. Methodology.
Skills that set medical billing specialists apart
- Cpt164.9× as often as in all postings · 11%
- Medical billing288.6× as often as in all postings · 9%
- Medicaid104.9× as often as in all postings · 7%
- Medicare80.2× as often as in all postings · 7%
- Icd-10127.2× as often as in all postings · 7%
- Medical terminology19.1× as often as in all postings · 11%
- Hipaa11.1× as often as in all postings · 11%
- Billing54.6× as often as in all postings · 6%
- Coding50.8× as often as in all postings · 5%
- Accuracy3.6× as often as in all postings · 5%
Skills named in at least 5% of these postings and at least 3 times as often as in job postings overall.
Have a medical billing specialist job posting in front of you? See which of its skills your resume is missing.
What does a medical billing specialist do?
Employers post these jobs as Medical Biller, Authorization Specialist, Patient Account Representative, Revenue Cycle Manager, Revenue Cycle Specialist and other titles. The largest specializations are Revenue Cycle Manager (20%), Prior Authorization Specialist (16%), Patient Account Representative (20%), Credentialing Specialist (4%), Reimbursement Specialist (2%), VOB Specialist (under 1%).
The closest official occupation is Billing and Posting Clerks (43-3021.00). Its most important tasks:
- Verify accuracy of billing data and revise any errors.
- Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
- Keep records of invoices and support documents.
- Operate typing, adding, calculating, or billing machines.
- Create billing documents, shipping labels, credit memorandums, or credit forms.
Source: O*NET 31.0 Database, U.S. Department of Labor, Employment and Training Administration (CC BY 4.0).
How much experience do you need to be a medical billing specialist?
Among 1,150 postings that state a minimum, the median is 2 years. 1% say 0 years and 30% ask for 1 year or less.
Minimum experience asked in 1,150 US medical billing specialist job postings: median 2 years, and 30% ask for 1 year or less.
The figures as a table
| Minimum experience asked | Share of postings |
|---|---|
| 0 yr | 2% |
| 1 yr | 28% |
| 2 yrs | 33% |
| 3-4 yrs | 25% |
| 5-7 yrs | 11% |
| 8-9 yrs | under 1% |
| 10+ yrs | under 1% |
Postings that state a minimum (required or preferred); at most 20 postings per employer; US, October 2026.
We do not show a degree figure: in our checks, degree requirements in posting text were found too rarely to publish one. Why.
Full-time 97%, Part-time 3% of the 434 postings that state working hours.
Other names for a medical billing specialist: job titles employers use
| Job title | Employers using it |
|---|---|
| Medical Biller | 138 (10.8%) |
| Medical Billing Specialist | 85 (6.7%) |
| Authorization Specialist | 72 (5.7%) |
| Patient Account Representative | 61 (4.8%) |
| Revenue Cycle Manager | 58 (4.6%) |
| Revenue Cycle Specialist | 55 (4.3%) |
| Prior Authorization Specialist | 49 (3.9%) |
| Billing Specialist | 39 (3.1%) |
| Insurance Verification Specialist | 35 (2.8%) |
| Revenue Cycle Analyst | 32 (2.5%) |
| Patient Accounts Representative | 24 (1.9%) |
| Appeals Specialist | 22 (1.7%) |
| Revenue Integrity Analyst | 22 (1.7%) |
| Patient Financial Advocate | 22 (1.7%) |
| Insurance Authorization Specialist | 20 (1.6%) |
| Patient Account Rep | 19 (1.5%) |
| Authorization Representative | 18 (1.4%) |
| Patient Financial Counselor | 18 (1.4%) |
| Patient Account Specialist | 18 (1.4%) |
| Insurance Verifier | 17 (1.3%) |
Titles read in our audit and used by at least 3 employers.
Medical billing specialist job titles compared
The titles people search for most, from the US job postings that use each exact title (October 2026).
| Job title | Open postings | Employers | Median pay | Median experience | Skills named most |
|---|---|---|---|---|---|
| Medical Biller | 164 | 138 | – | – | – |
Medical Billing Specialist compared with similar careers
| Career | Median pay | Median experience | Postings | Shares N of top 25 skills |
|---|---|---|---|---|
| Medical Billing Specialist | $22.50/hr | 2 years | 2,516 | – |
| Medical Coder | $68K | 2 years | 1,697 | 18 |
| Patient Services Representative | $21.50/hr | 1 year | 14,137 | 18 |
| Office Manager | $23.31/hr | 2 years | 4,611 | 16 |
| Claims Adjuster | $78K | 3 years | 2,669 | 15 |
Similar careers
| Career | Shares N of the top 25 skills | Median pay |
|---|---|---|
| Medical Coder | 18 | $68K |
| Patient Services Representative | 18 | $21.50/hr |
| Office Manager | 16 | $23.31/hr |
| Claims Adjuster | 15 | $78K |
| Collections Specialist | 17 | – |
| Banking Operations Specialist | 16 | – |
Applying for medical billing specialist jobs?
- Medical billing specialist resume examples: one-page examples for these roles
- Match your resume to a job: paste a posting and see the skills your resume is missing
- Check your resume: see how an applicant tracking system reads it
- Find medical billing specialist jobs: search open postings
Source and method
Open US job postings collected from employers' applicant tracking systems, de-duplicated, counted only when their job title was read in our audit. Shares count at most 20 postings per employer, and franchise locations of one brand count as one employer. Pay uses hourly and annual figures only; a figure is shown when leaving out the largest employer moves it by 10% or less. Every figure states its number of postings. Methodology and measured accuracy.
Accuracy check: we read 20 randomly chosen postings counted on this page in full; 20 of them were this career or a closely related one (October 2026).
Download the figures on this page (CSV): every number above with its count of postings. Aggregate figures are licensed CC BY 4.0; cite the page when you reuse them.