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Medical Billing Specialist II Salary in the United States

How much does a Medical Billing Specialist II make in the United States?

As of August 01, 2026, the average salary for a Medical Billing Specialist II in the United States is $48,220 per year, which breaks down to an hourly rate of $23.

However, a Medical Billing Specialist II's salary can vary significantly. Here’s a look at the typical salary range:

  • Top Earners (90th percentile): $55,426
  • Majority Range (25th-75th percentile): $44,848 to $51,992
  • Entry-Level (10th percentile): $41,778

Key Factors That Influence Medical Billing Specialist II Salaries

A Medical Billing Specialist II's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, education and company size can directly affect your earning potential.

How Experience Level Affects Medical Billing Specialist II Salaries?

Experience is a primary driver of a Medical Billing Specialist II's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:

  • Medical Billing Specialist I (0-1 years): $43,764
  • Medical Billing Specialist II (1-3 years): $48,220
  • Medical Billing Supervisor (3+ years): $65,063
  • Medical Billing Manager (3-5 years): $100,492
Job Role Years of Experience Average Salary
Medical Billing Specialist I0-1 years$43,764
Medical Billing Specialist II1-3 years$48,220
Medical Billing Supervisor3+ years$65,063
Medical Billing Manager3-5 years$100,492

Top Paying Cities for Medical Billing Specialist II

Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:

  • San Jose: $60,820
  • San Francisco: $60,154
  • Oakland: $58,886

What Skills Can Increase a Medical Billing Specialist II's Salary?

Demanded Skills for the Role:

  • Customer Service (Mentioned in 4.49% Job Postings): Customer service is the provision of service to customers before, during and after a purchase. The perception of success of such interactions is dependent on employees "who can adjust themselves to the personality of the guest". Customer service concerns the priority an organization assigns to customer service relative to components such as product innovation and pricing. In this sense, an organization that values good customer service may spend more money in training employees than the average organization or may proactively interview customers for feedback. From the point of view of an overall sales process engineering effort, customer service plays an important role in an organization's ability to generate income and revenue. From that perspective, customer service should be included as part of an overall approach to systematic improvement. One good customer service experience can change the entire perception a customer holds towards the organization.
  • Billing Software (Mentioned in 2.08% Job Postings): billing software allows you to track the products and services your customers use, generate and send invoices with, and receive payments. They can automate the repetitive tasks your finance team struggles with on a daily basis.
  • Accounting (Mentioned in 1.39% Job Postings): Creating financial statements and reports based on the summary of financial and business transactions.
Skills Demand Percentage
Customer Service 4.49%
Billing Software 2.08%
Accounting 1.39%

What skills can make your compensation higher?

Mastering certain specialized skills can lead to a significant increase in pay. Here are examples of skills and the potential impact they can have on a Medical Billing Specialist II's salary.

  • Flexibility: Can increase your salary by up to 8%.
  • Commitment: Can increase your salary by up to 7%.
  • Integrity: Can increase your salary by up to 5%.
Skill Salary Salary % Increase
Flexibility $52,078
8%
Commitment $51,595
7%
Integrity $50,631
5%

Medical Billing Specialist II Salary by Company Size: Startups vs. Enterprise

Medical Billing Specialist II salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $52,040. While startup companies pay approximate $44,130.

Medical Billing Specialist II Salary by Company Size

Company Size Employees Average Salary
Startup 1~50 $44,130
Growth Stage 51~500 $46,650
Established 501~5000 $50,277
Enterprise 5000+ $52,040

Medical Billing Specialist II Salary by Industry: Top Paying Sectors

For Medical Billing Specialist II roles, the industry you choose can affect earning potential by as much as 90% (the gap between the highest and lowest paying industries). Data shows that the Healthcare and Financial Services sectors offer the strongest compensation, at 50% above the average. In contrast, Medical Billing Specialist positions in Insurance or Edu., Gov't. & Nonprofit typically offer lower base pay, as these industries often view Medical Billing Specialist II as a support function rather than a direct revenue driver.

The top paying industries for a Medical Billing Specialist II

Industry Sector Average Annual Salary Average Hourly Rate Pay vs.Avg
Healthcare$72,330$35.050%
Financial Services$57,864$28.020%

How Education impacts an Medical Billing Specialist II's Salary?

Your level of education can impact your salary potential. While many Medical Billing Specialist II enter the field with a Bachelor's Degree, higher education can lead to more specialized and higher-paying roles.

According to our 100% employer-reported salary data, the median salary for an Medical Billing Specialist II with a Bachelor's Degree is between $45,596 and $47,564.

Medical Billing Specialist II Salaries by Degree Level

Typical Education for Medical Billing Specialist II
Degree Level % of user with this level of education
No Diploma 5.0%
High School 27.5%
Associates 20.0%
Bachelors 42.5%
Masters 5.0%
Doctorate 0.0%

Medical Billing Specialist II Salary: Hourly Rate, Weekly Pay, and Monthly Pay

Understanding how a Medical Billing Specialist II's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.

Last Updated on August 01, 2026
$44,848
Average $48,220/year
$51,992
$3,737
Average $4,018/month
$4,333
$862
Average $927/week
$1,000
$22
Average $23/hour
$25
Annual Salary Monthly Pay Weekly Pay Hourly Wage
75th Percentile $51,992 $4,333 $1,000 $25
Average $48,220 $4,018 $927 $23
25th Percentile $44,848 $3,737 $862 $22

Medical Billing Specialist II Salary Growth & Career Path

For a Medical Billing Specialist II, the most direct path to higher earnings is advancing to the Medical Billing Supervisor role. This promotion typically comes with a significant pay increase, bringing the average annual salary to $65,063 - a projected growth of 35% over your current level.

Most common benefits for Medical Billing Specialist II

  • Social Security
  • 401 (k)
  • Disability
  • Healthcare
  • Pension
  • Time Off (days)

Common company salaries for Medical Billing Specialist II

Here are companies hiring for Medical Billing Specialist II and their salaries, click below for more details.

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FAQ about Medical Billing Specialist II

1. Where can a Medical Billing Specialist II earn the most?

A Medical Billing Specialist II's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer. According to the latest salary data by Salary.com, a Medical Billing Specialist II earns the most in San Jose, CA, where the annual salary of a Medical Billing Specialist II is $60,820.

2. What is the highest pay for Medical Billing Specialist II?

The highest pay for Medical Billing Specialist II is $55,426.

3. What is the lowest pay for Medical Billing Specialist II?

The lowest pay for Medical Billing Specialist II is $41,778.

4. What are the responsibilities of Medical Billing Specialist II?

Prepares and processes medical invoices to support timely and efficient billing operations. Documents and inputs payment records in accordance with industry standards and government regulations. Collects and updates patient billing and insurance information to maintain medical billing information systems and ensure organized and accurate records. Prepares and distributes applicable documentation and resources for patients. Liaises with patients, medical providers, and insurance companies, resolving billing inquiries and gathering additional patient information as necessary. Remains knowledgeable and compliant with proper medical and insurance claim processes. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.

5. What industry pays the highest salary for Medical Billing Specialist II?

The Healthcare industry offers the highest average compensation for Medical Billing Specialist II roles, with salaries approximately 50% above the market median.

Where Does Our Salary Data Come From?

Salary.com provides salary estimates, histograms, trends, and comparisons using data from employer job postings and third-party sources.

We offer detailed salary information across multiple percentiles for your reference. (Click here to learn Why the Salary Midpoint Formula Is Crucial for Achieving Pay Equity.)

With the most extensive online, real-time compensation data available, Salary.com helps you pinpoint your exact pay target.

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