What Does a Medical Billing Manager Do? Billing Manager Career Guide

A billing manager owns the back end of the revenue cycle: the people who bill, post, follow up and appeal, and the process that carries a claim from charge capture to final payment.

When a payer rejects a claim, an aging report stops improving, or a patient balance question escalates, this is the role that answers for it.

The people side covers scheduling and coaching the billing staff, setting priorities when payer volumes back up, and acting as the escalation point with payers, clearinghouses and software vendors.

The role is oversight rather than production: instead of working one queue of claims, you are responsible for whether every queue clears.

The process side spans the domains AAPC lists under its Certified Professional Biller (CPB) credential: claim submission for commercial payers, Medicare and Medicaid; coordination of benefits, medical necessity and prior authorization; denials, appeals, payment posting, reconciliation and collections; and HIPAA and fraud-and-abuse compliance.

Whether or not a manager ever holds the credential, that list maps the claim-cycle domains the role is accountable for.

The money side is real management work.

BLS lists 'prepare and monitor budgets and manage finances, including patient fees and billing' among the typical duties of medical and health services managers (SOC 11-9111), the closest federal group for the manager title.

Measurement is where the job gets specific.

HFMA publishes the MAP Keys: 29 revenue cycle KPIs in five groups — Patient Access, Pre-Billing, Claims, Account Resolution and Financial Management.

The set includes net days in accounts receivable, aged A/R overall and by payer group, denial write-offs, bad debt, net days in credit balance and cost to collect.

HFMA defines the clean claim rate as the number of claims that pass edits with no manual intervention, divided by the number of claims accepted into the claims processing tool.

HFMA describes the MAP Keys as industry-standard KPIs for revenue cycle benchmarking, applied to hospitals, ambulatory providers, physician organizations, post-acute care and integrated systems.

BLS lists analytical, communication, detail, leadership and technical skills — including keeping up with coding and EHR systems — among the qualities important for medical and health services managers.

Payer rules, staff management and software: the mix is the job in one line.

The federal classification splits the titles.

In BLS's SOC direct match title file, 'Medical Billing Supervisor' and 'Billing Supervisor' are assigned to 43-1011: first-line supervisors of office and administrative support workers, the closest group for the supervisor title.

Manager titles such as health information services manager sit in 11-9111, medical and health services managers — the closest group on the manager side.

The scope difference is the useful part.

A first-line supervisor runs the working crew day to day: schedules, questions on individual claims, escalation with a payer.

A manager carries the office's results — the budget and finance duties BLS lists for health services managers, hiring and process decisions, and reporting to practice or company leadership.

Pay follows the split in the federal data, though both codes cover all industries, not medical billing alone.

BLS reported a May 2025 median of $69,500 for first-line supervisors of office and administrative support workers (SOC 43-1011), a code that counts supervisor titles across all industries, not medical billing alone.

The medical and health services manager median was $123,860 (SOC 11-9111) — an occupation that includes far more than billing managers.

Employers still draw the line differently.

A small practice may give one person the supervisor title and the full manager scope, while a larger billing operation may run several layers of both.

Read a posting's duties, not the word in the title.

In the federal employment data for health care managers, hospitals employ 28% of medical and health services managers and offices of physicians employ 13%.

Those shares cover the whole occupation — nursing home administrators, clinical managers and health information managers included — because BLS does not separate billing or revenue cycle managers within the code.

The occupation's own example types make the same point: BLS names nursing home administrators, clinical managers, and health information managers, who keep patient record databases complete, accurate and accessible only to authorized personnel.

Billing and revenue cycle managers are not named as a separate type, so federal setting data cannot answer how many billing managers work in any one setting.

The practical employer list tracks where billing teams exist: physician practices and specialty groups, hospitals and health systems, ambulatory surgery centers, and billing companies and RCM vendors that run billing for provider clients.

Billing companies are hard to isolate even in the clerks' data.

BLS counted 30,200 billing and posting clerks in accounting, tax preparation, bookkeeping and payroll services in 2025.

Its industry table carries no separate line for medical billing companies, so that count cannot be read as a count of third-party medical billers.

The hours look like management anywhere.

BLS describes most medical and health services managers as working full time; some work more than 40 hours a week, and evening or weekend work may be required in around-the-clock settings such as hospitals.

There is no single gate into the role, and the federal description reads like a biller's résumé.

BLS notes that some medical and health services managers begin their careers as medical records specialists, administrative assistants or financial clerks in a health care office — and billing and posting clerks, the code medical billers are counted in, fall in that last group.

The rungs in between are experience rungs.

BLS says financial clerks typically need a high school diploma or equivalent and learn their duties through on-the-job training.

Senior biller and lead work adds escalation, quality review and training duties; supervisor and manager roles add hiring, budgeting and ownership of the office's numbers.

On education, BLS says medical and health services managers typically need a bachelor's degree, though some employers hire candidates with an associate's degree, and work experience sometimes may substitute for education.

For a biller, the years spent on claims, denials and aging reports are the record a hiring decision turns on.

Certification can sit on top of that experience.

AAPC's CPB covers claim submission across commercial, Medicare and Medicaid payers; coordination of benefits, medical necessity and prior authorization; denials, appeals, payment posting, reconciliation and collections; and HIPAA and fraud-and-abuse compliance.

AAPC lists CPB exam vouchers starting at $425, and keeping the credential takes an annual AAPC membership plus 36 CEUs every two years.

BLS does not separate billing or revenue cycle managers within its manager occupation.

The closest federal figure is broad: a May 2025 median annual wage of $123,860 for medical and health services managers (SOC 11-9111), an occupation that also contains nursing home, clinical and health information managers.

Setting splits that median.

In OEWS May 2025 data, the median was $134,050 in general medical and surgical hospitals and $105,770 in offices of physicians — again for the full manager occupation, not billing managers alone.

The supervisor code gives a middle point: first-line supervisors of office and administrative support workers (SOC 43-1011, all industries — the closest group for the supervisor title) had a May 2025 median of $69,500.

The rung below shows how large the step up is — billing and posting clerks (SOC 43-3021, all industries), the proxy BLS data offers for medical billers, had a median of $48,500.

Outlook runs the same direction.

BLS projects 24% employment growth for medical and health services managers from 2025 to 2035, with about 62,300 openings a year.

The clerk occupation billers come from is projected essentially flat — 418,000 jobs in 2025 against 417,700 in 2035 — while its health care and social assistance employment is projected to grow 6.6%, to 190,000 by 2035.

The billing manager salary page carries the BLS tables behind these figures, with the percentile detail the summary numbers leave out.

Billing manager openings sit where the billing teams sit: physician groups, hospitals, ASCs and billing companies.

The experience behind the role is the work described above — claim submission, payment posting, AR follow-up and denials — plus the leadership evidence a supervisor or lead role provides.

Browse medical billing manager jobs on the board that lists only medical billing and coding work.

If you run a practice or a billing company and need the seat filled, hiring a billing manager? Post a job puts the opening in front of billers, coders and revenue-cycle staff.

Career information, not coding, billing-compliance, legal or tax advice. Confirm credential details with AAPC and employment and pay data with BLS before you act on them.