Career profile

Billing and Posting Clerk

Billing and posting clerks turn sales and service records into accurate invoices for clients.

Any amount that looks off sends you back to its first source document before the invoice goes out.

A billing and posting clerk matching an invoice with payment records at an office desk.

A day in the life

1A billing clerk compares an invoice with a sales record, pointing out a repeated quantity entry before correcting it.

Catch a quantity entered twice

Match an invoice to its sale log, and look into a quantity listed twice before you fix it.

2The clerk uses a purchase order to calculate charges and build a customer invoice in billing software.

Turn an order into an invoice

Figure amounts owed from a purchase order or a work log, then create the invoice in billing software.

3The clerk posts a charge to a customer account and scans the records that explain the amount owed.

Record what the client owes

Post the amount due to the client's account and keep the paperwork that backs up the charge.

4The clerk reviews a customer account during a phone call, explains a charge, and records information needed to complete the account.

Answer a client's billing call

When a client calls, open their account, walk them through the invoice, and ask for missing details.

Quick facts

Preparation

High school + workplace training

United States · 2025

Pay

$48,500/year

United States · May 2025

Outlook

Little overall change

United States · 2025–2035

Quick orientation

Preparation, pay & outlook

Preparation

High school + workplace training

A diploma or equivalent is typical; employers teach their billing procedures.

Geography
United States
Period
2025

Pay

$48,500/year

National median for billing and posting clerks, equivalent to $23.32 an hour.

Geography
United States
Period
May 2025

Outlook

Little overall change

Employment is projected to change by -0.1% from 2025 to 2035.

Geography
United States
Period
2025–2035

Fit, tradeoffs & changing tools

Things to weigh

  • Much of the day is spent sitting at a computer.
  • The checks repeat, but each bill still needs close attention.

Where AI may help

Software can process invoices automatically, reducing routine handling.

What people still lead

You investigate mismatches and explain account problems to customers.

What we can’t predict yet

How much checking software will take over remains uncertain; more automation could shift your day toward exceptions.

Pay in context

Earnings

The national median was $48,500 a year, or $23.32 an hour, in May 2025. That is the middle of the pay distribution, not a starting offer.

The national spread

The lowest-paid 10% earned $37,290 or less annually; the highest-paid 10% earned $67,710 or more. These groups are not beginner and senior pay bands.

Geography
United States
Period
May 2025
Pay basis
Annual wage percentiles for billing and posting clerks, SOC 43-3021

Workplace can affect pay

In May 2023, annual average pay was $45,760 in physicians' offices and $46,760 in general medical and surgical hospitals. These older workplace averages are separate from the 2025 national median.

Geography
United States
Period
May 2023
Pay basis
Mean annual wages by employer industry for billing and posting clerks, SOC 43-3021

Openings despite flat employment

About 37,000 openings are projected each year on average during 2025–2035, even with little overall employment change. Openings include replacing people who leave the occupation.

Geography
United States
Period
2025–2035
Pay basis
Projected annual average occupational openings; not a pay measure

Getting started

Apply for a billing trainee or clerk role

What the route involves
Bring a high school diploma or equivalent and learn the employer's billing process on the job.
What it can lead to
You build the practical skills to handle that employer's routine bills and account records.
What to check
Related experience is not part of the typical national entry baseline, but individual employers may require it.

Study medical billing

Stark State College's certificate takes 21 credits over two semesters.
What the route involves
Practice submitting insurance claims, checking benefits, and working through denied claims in a medical billing certificate program.
What it can lead to
You gain preparation for entry-level medical billing work, including the insurance procedures a general office course may not cover.
What to check
This is a specialty preparation option; a college certificate is not the typical requirement across all billing and posting jobs.

You can enter through workplace training or prepare for a specialty through college coursework.

After entry

Career paths

This starts where the entry routes leave off: early work, growing capability, and advancement or specialization.

  1. Get established

    Learn the billing system and where to find supporting records.

  2. Handle harder accounts

    In healthcare billing, develop skill in tracing rejected claims and preparing denial appeals.

  3. Move into senior billing

    Senior billing coordinators in law firms may prepare billing analyses and train new coordinators. Advancement depends on experience and employer requirements.

Where you can work

Healthcare billing offices

Insurance requirements shape the work. You handle claims and patient billing questions while protecting confidential health information.

  • Indoors
  • Office

Law firms

Bills can depend on time charged to client matters. You work with attorneys and their staff to resolve billing questions.

  • Indoors
  • Office

Try it

See whether the job clicks before you commit to the path.

Make a fictional order for five items, then create its invoice in a spreadsheet. Plant a duplicate item and a wrong quantity. Reconcile the two records and write a short explanation of the corrections. Notice whether finding and explaining the mismatches holds your interest.

Stay safe: Use invented names and amounts, not real customer or patient records.

Explore more careers

Sources

  1. O*NET OnLine. 43-3021.00 — Billing and Posting Clerks. Accessed 2026-10-03.
  2. O*NET OnLine / U.S. Bureau of Labor Statistics. National Wages: Billing and Posting Clerks. Accessed 2026-10-03.
  3. U.S. Bureau of Labor Statistics. Occupational projections and worker characteristics, 2025–35. Accessed 2026-10-03.
  4. U.S. Bureau of Labor Statistics. Occupational Employment and Wages, May 2023: Billing and Posting Clerks. Accessed 2026-10-03.
  5. U.S. Bureau of Labor Statistics. Occupational Outlook Handbook: Financial Clerks. Accessed 2026-10-03.
  6. Stark State College. Medical billing specialist certificate. Accessed 2026-10-03.
  7. Simpson Thacher & Bartlett. Senior Billing Coordinator. Accessed 2026-10-03.

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