Medical billing supervisor salary & career outlook

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Medical billing supervisors are in charge of the department that bills clients, insurance companies and government agencies for the services provided by health care organizations. Job duties vary from position to position, but the general duties of the profession are fairly consistent. These typically include:

  • Recruiting, hiring and managing billing personnel for the department or office
  • Overseeing operational and financial standards
  • Researching, developing and implementing billing policies, procedures and guidelines
  • Monitoring procedure execution and updating guidelines when necessary

Depending on the size and type of the health care facility or medical practice, an associate, bachelor’s or master’s degree in medical billing may be required. Coursework can include billing management, medical documentation, medical terminology, health insurance claims and forms, medical insurance, managed care and electronic data exchange. Coursework in medical billing office management, a general knowledge of management principles and previous medical billing experience may be additional requirements for certain positions.

Job outlook for medical billing supervisors

According to the Bureau of Labor Statistics (BLS), supervisory personnel in health care are expected to see significant job growth over the next several years. The projected 23 percent increase in employment between 2012 and 2022 should translate to around 73,300 new positions nationwide for medical billing supervisors and other managers in the health services field.

Employment of medical records and health information technicians is expected to see similarly robust growth, as well, which means that additional management personnel will be needed to supervise them. BLS data indicate an expected 22 percent increase in employment of medical records employees in the U.S. by 2022, which should lead to thousands of new teams of employees for medical billing supervisors to manage.

Medical billing supervisor salary and location information

Mean annual salary figures reported by the BLS indicate that first-line supervisors of office and administrative support workers earned $53,690 on average, as of May 2013, or about $9,000 more than the national annual salary average across all occupations. The bottom 10 percent of first-line administrative supervisors earned up to $30,800 the same year, and the top 10 percent of earners took home $81,480 or more.

Raw salary figures are one thing, but actual salary value is often another thing entirely. Regional cost of living has a lot to do with how far you can stretch each dollar of that annual salary, and there are a few states where medical billing supervisors can earn a comfortable income without turning out their pockets to pay for essentials like housing costs and groceries.

Here are a few metropolitan areas in states that ranked highly on a 2014 affordability report by the Missouri Economic Research and Information Center, listed alongside 2013 BLS annual salary figures for first-line administrative supervisors:

  • Birmingham-Hoover, Alabama: $55,470; state ranked 12th in affordability
  • Dallas-Plano-Irving, Texas: $58,880; state ranked 13th in affordability
  • Oklahoma City, Oklahoma: $53,390; state ranked fourth in affordability
  • Nashville-Davidson-Murfreesboro-Franklin, Tennessee: $52,090; state ranked second in affordability
  • Indianapolis-Carmel, Indiana: $52,650; state ranked fifth in affordability

Medical and health services managers earned the following annual mean wages in the same metro areas:

  • Birmingham-Hoover, Alabama: $100,250
  • Dallas-Plano-Irving, Texas: $102,380
  • Oklahoma City, Oklahoma: $86,560
  • Nashville-Davidson-Murfreesboro-Franklin, Tennessee: $98,550
  • Indianapolis-Carmel, Indiana: $96,000

The San Jose-Sunnyvale-Santa Clara metro area in California, also known as Silicon Valley, paid some of the highest wages for first-line supervisors and health services managers in 2013. The occupations earned mean annual salaries of $66,460 and $138,760 respectively, but the area is notoriously expensive: A 2014 report indicates that living there costs 87 percent more than the national average.


“Record cost-of-living increase makes Silicon Valley 87% more expensive than U.S. average,” Lauren Hepler, Silicon Valley Business Journal, March 3, 2014,

Cost of Living Data Series: Second Quarter 2014, Missouri Economic Research and Information Center, Missouri Department of Economic Development,

“Occupational Employment and Wages: First-Line Supervisors of Office and Administrative Support Workers,” Occupational Employment Statistics, Bureau of Labor Statistics, U.S. Department of Labor, May 2013,

“Occupational Employment and Wages: Medical and Health Services Managers,” Occupational Employment Statistics, Bureau of Labor Statistics, U.S. Department of Labor, May 2013,

Medical Records and Health Information Technicians, “Occupational Outlook Handbook, 2014-15 Edition,” Bureau of Labor Statistics, U.S. Department of Labor, Jan. 8, 2014,

Medical and Health Services Managers, “Occupational Outlook Handbook, 2014-15 Edition,” Bureau of Labor Statistics, U.S. Department of Labor, Jan. 8, 2014,