Most practices start looking for a medical biller at the worst possible moment. Your biller just gave notice. Claims are piling up. Denials are sitting unworked, and every week without coverage pushes more money past 90 days. You need someone good, you need them soon, and you cannot afford to hire the wrong person.
This page covers the four ways to hire a medical biller, what each one really costs and how long it takes, what to look for, and how hiring through DrBillerz works.
First, what DrBillerz is and is not
DrBillerz is not a software company. We do not sell billing software, and we will not ask you to switch systems, migrate data or learn a new platform. We place real, vetted medical billers who work inside the EHR, practice management system and clearinghouse you already use.
What we add is people and accountability: a biller tested on your specialty, a dedicated RCM manager who reviews their work, and a client portal that shows you what they did every day. The portal is how you see the work. It is not a system you have to run your practice on.
4 ways to hire a medical biller
| Hire in-house | Freelancer | Billing company | Dedicated biller (DrBillerz) | |
|---|---|---|---|---|
| Time to start | Often 1 to 3 months | Days to weeks | Usually 4 to 8 weeks to onboard | About 2 weeks |
| Typical cost | $55,000 to $75,000 a year with taxes and benefits | $15 to $70 an hour | 4 to 10% of collections | From $7 an hour |
| Who tests their skills | You | You | The company, but you rarely meet the person | We test on your specialty and EHR, then you interview |
| Who manages them | You or your office manager | You | The company | A dedicated RCM manager, with you in the loop |
| Works in your systems | Yes | Usually | Sometimes | Yes |
| If they quit | You start over | You start over | Handled, but you may not know | A trained backup covers and we re-match |
| What you can see | Whatever you check | Whatever they tell you | A monthly report | Daily, in the client portal |
For a detailed cost breakdown, see how much a medical biller costs. If you are weighing freelancers, read why practices move off Upwork for billing.
What a medical biller should handle
- Eligibility and prior authorization before the visit, so denials are prevented instead of chased
- Charge entry and claim submission the same or next day
- Clearinghouse rejections fixed quickly
- Denial management and appeals on every denial, not only the large ones
- AR follow-up on aging claims, including payer calls
- Payment posting and underpayment checks
- Patient statements and balance questions
- Credentialing and payer enrollment updates, if needed
Not every practice needs all of this from one person. A good hiring partner sizes the role to your volume: part-time, full-time or a small team.
What to look for when you hire
- Specialty experience. Mental health, physical therapy, cardiology and EMS each have their own rules. Ask for examples from your specialty.
- Your EHR and clearinghouse. A biller who already knows your system is productive in days, not weeks.
- A real skills test. Test with de-identified claims from your specialty. Certifications help, but a test shows what they can actually do.
- HIPAA basics. A signed BAA if they are not your employee, their own login, and no patient data on personal devices or chat apps.
- Someone accountable above them. Who reviews the work and steps in if they leave?
- Clear numbers. Days in AR, clean claim rate, denial rate and collections, reported every month at minimum.
For the full checklist, see how to hire a medical biller: the questions that matter and how to vet a remote medical biller.
How hiring through DrBillerz works
- Tell us what you need. Specialty, EHR, claim volume and the work to cover. It takes about 10 minutes.
- We shortlist tested billers. Every biller has passed coding, specialty and EHR tests before you see them.
- You interview and choose. Pick the biller who fits your practice.
- Start a free 4-week pilot. Your biller works in your systems with a dedicated RCM manager reviewing daily. You pay nothing for 4 weeks.
- Watch the work live. Claims worked, denials resolved and money posted show up in your client portal.
What it costs
DrBillerz billers start from $7 an hour. A full-time biller is about $1,120 a month. A part-time biller at 20 hours a week is about $600 a month. The dedicated RCM manager and the client portal are included at no extra cost, there is no setup fee, and there is no long-term contract.
Compare that with $55,000 to $75,000 a year for an in-house hire, or a billing company taking 4 to 10% of everything you collect.
Specialties and systems
We place billers across family practice, internal medicine, pediatrics, mental health and psychiatry, physical therapy, chiropractic, cardiology, orthopedics, OB/GYN, dermatology, neurology, oncology, gastroenterology, urgent care, and EMS and ambulance. Our billers work in athenahealth, eClinicalWorks, NextGen, Kareo/Tebra, AdvancedMD and many others. See all services.
Hiring for a specific role or specialty?
- Hire a part-time medical biller
- Hire an AR follow-up and denial management specialist
- Hire a credentialing specialist
- Hire a CPC certified medical biller
- Hire a physical therapy biller
- Hire a mental health billing specialist
- Hire an EMS billing specialist
Hiring for a billing company?
We also place dedicated billers with billing companies that need to add capacity without adding local headcount. See medical billing staffing for billing companies.
Start your free 4-week pilot · Send an enquiry · or call (313) 725-9746 or email info@drbillerz.com
Frequently asked questions
How much does it cost to hire a medical biller?
An in-house biller usually costs $55,000 to $75,000 a year with taxes and benefits. Freelancers charge about $15 to $70 an hour. Billing companies take 4 to 10% of collections. DrBillerz billers start from $7 an hour, about $1,120 a month full-time.
How long does it take to hire a medical biller?
Hiring in-house often takes 1 to 3 months. Through DrBillerz, a tested biller usually starts in about 2 weeks.
Can I interview the biller before they start?
Yes. We shortlist billers who have already passed coding, specialty and EHR tests, and you choose who works with your practice.
Is DrBillerz a billing software company?
No. We do not sell billing software. We place dedicated medical billers who work inside your existing EHR and clearinghouse. The client portal only shows you their work.
Can I hire a part-time medical biller?
Yes. Many small practices start at 20 hours a week, about $600 a month, and adjust as volume changes.
Is a remote medical biller HIPAA compliant?
It can be, with the right controls: a signed BAA, individual logins you control, training and oversight. Every DrBillerz engagement starts with a signed BAA.