RevCycleJobs / RCM Roles / Medical Biller
Medical Biller: Role, Salary & Career Path
Medical billers submit claims to insurance companies, follow up on denials, and ensure payments are processed correctly. They're the backbone of claim reimbursement — working payer portals, managing aging reports, and solving payment problems that directly impact healthcare provider cash flow.
💰 Salary Ranges
| Level | Typical Annual Salary |
|---|
| Entry Level | $32K–$42K |
| Mid-Level | $42K–$56K |
| Senior / Lead | $56K–$72K |
| Supervisor / Manager | $72K–$95K |
📅 A Real Workday
Here's what a typical day actually looks like for a medical biller — not the job description version, the real version.
7:00 AM
Submit overnight batch claims. Review the claim scrubber report for any edits or rejections before the batch goes out. Fix eligibility errors and resubmit. Clean claims out the door before 8 AM means faster turnaround on payment.
8:30 AM
Work unpaid and pending claims from the AR aging report. Pull the 45–60 day bucket for your primary payer and check status on each claim through the portal. Flag any that have been sitting in "received" status for more than 30 days — those need a call or live chat follow-up.
10:00 AM
Post payments from yesterday's EOBs and ERAs. Match remittance to open claims, apply contractual adjustments, and post any patient balance transfers to the patient account. Flag overpayments for refund processing.
11:30 AM
Research a batch of denials from this week's remittance. CO-4 and CO-16 denials need documentation review — pull the operative notes, confirm the procedure is supported, and prepare the appeal. CO-97 bundling denials get routed to the coder for review.
1:30 PM
Update the weekly AR aging report. Track payer buckets by 0–30, 31–60, 61–90, and 90+ days. Flag any bucket showing growth. Calculate the net collection rate for the week and document any payers trending below the 95% threshold.
4:00 PM
Work payer appeals submitted two weeks ago. Check portal status — two have been approved and payment is processing. One was denied again. Review the second-level denial reason, pull the applicable contract language, and escalate to a peer-to-peer review request.
🛠 Common Tools
Availity
Emdeon
Change Healthcare
Epic
Cerner
Medidata
Microsoft Excel
📈 Career Path
1
Medical Biller
Entry level — 0–2 yrs
2
Senior Medical Biller
2–4 yrs
3
Billing Supervisor
4–7 yrs
5
Director of Patient Financial Services
10+ yrs
🎓 Key Certifications
CRCR — Certified Revenue Cycle Representative
HFMA's foundational revenue cycle credential. Validates knowledge across the full billing and collections workflow — the most relevant certification for medical billers looking to advance.
CPC — Certified Professional Coder
Issued by AAPC. Bridges billing and coding — especially valuable for medical billers who work in physician practices and need to understand procedure codes, modifiers, and charge capture accuracy.
CPMA — Certified Professional Medical Auditor
AAPC's auditing credential. A strong differentiator for billers moving into senior, supervisory, or compliance-adjacent roles where documentation accuracy is a primary responsibility.
Browse Open Medical Biller Jobs
Medical biller roles updated daily from health systems, physician groups, and billing companies across the country.
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